MEDICARE: JACKLYN JUNG MSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	109847	CA
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1053081620
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACKLYN JUNG MSW

Provider Business Mailing Address
First Line	:	401 W LINCOLN AVE
Second Line	:
City	:	MONTEBELLO
State	:	CA
Zip	:	90640-3524
Country	:	US
Telephone Number	:	213-309-3388
Fax Number	:

Provider Business Practice Location Address
First Line	:	1902 MARENGO ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90033-1312
Country	:	US
Telephone Number	:	213-309-3388
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2021
Last Update Date	:	03/29/2024

Similar Medicare Providers

1841830668 — MELISSA JANICE CASTILLO
Practice Location Address:

1902 MARENGO ST # 109110
LOS ANGELES, CA
90033-1312

Practice Phone: 323-276-6470
Practice Fax:

1073115408 — SHANG CHEN PHMARMD
Practice Location Address:

1902 MARENGO ST
LOS ANGELES, CA
90033-1312

Practice Phone: 626-623-3161
Practice Fax:

1750431789 — DR. ROYA MANAVI-MAKHANI OPTOMETRIST
Practice Location Address:

1312 MONTANA AVE.
LOS ANGELES, CA
90403

Practice Phone: 131-057-6919
Practice Fax: 131-065-6685

1174669873 — DR. JILBER FOULADIAN O.D.
Practice Location Address:

1312 WESTWOOD BLVD
LOS ANGELES, CA
90024-4902

Practice Phone: 310-234-8900
Practice Fax: 310-388-0188

1407011836 — MR. HAROLD WAITE
Practice Location Address:

7339 PYRAMID PL
LOS ANGELES, CA
90046-1312

Practice Phone: 323-855-0570
Practice Fax:

1679720130 — DR. XUAN DIEP D.C.
Practice Location Address:

913 WHITE KNOLL DR
LOS ANGELES, CA
90012-1312

Practice Phone: 213-482-4772
Practice Fax:

Directions to “ JACKLYN JUNG MSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.