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General NPI Number Information
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NPI Number | 1821855958
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Entity Type | Individual
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Provider Name | JAYNA JUNG MFT-TRAINEE
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Gender | Female
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Dates
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Enumeration Date | 03/05/2024
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 11050 ARTESIA BLVD STE E
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City | CERRITOS
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State | CA
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Zip | 90703-2542
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Country | US
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Telephone | 562-860-8838
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Fax | 562-860-0248
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Provider Business Mailing Address
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Address Line | 3740 HOWARD AVE
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-3618
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Country | US
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Telephone | 562-370-8994
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | CA
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