MEDICARE: DR. JENNIFER HUNG PSY.D

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	103T00000X	Psychologist	21949	CA

General Provider Information

NPI Number	:	1598896151
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER HUNG PSY.D

Provider Business Mailing Address
First Line	:	PO BOX 1408
Second Line	:
City	:	TEMPLE CITY
State	:	CA
Zip	:	91780-7408
Country	:	US
Telephone Number	:	951-281-9945
Fax Number	:

Provider Business Practice Location Address
First Line	:	2275 S MAIN ST STE 201
Second Line	:
City	:	CORONA
State	:	CA
Zip	:	92882-5303
Country	:	US
Telephone Number	:	951-281-9945
Fax Number	:

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

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	08/20/2012

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