DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CONNIE SUMIN JIN

MEDICARE: CONNIE SUMIN JIN
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1760314017
Entity Type Code : Individual
Provider Name (Legal Business Name) : CONNIE SUMIN JIN
Provider Business Mailing Address
First Line : 1820 W ORANGEWOOD AVE STE 110
Second Line :
City : ORANGE
State : CA
Zip : 92868-5056
Country : US
Telephone Number : 714-696-2862
Fax Number : 714-242-9308
Provider Business Practice Location Address
First Line : 1820 W ORANGEWOOD AVE STE 110
Second Line :
City : ORANGE
State : CA
Zip : 92868-5056
Country : US
Telephone Number : 714-696-2862
Fax Number : 714-242-9308
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

Similar Medicare Providers

1174798433 — ORANGE COUNTY NEWBORN MEDICARE CARE PC
Practice Location Address:
3 SAINT STEPHENS PL , SUITE 2
WARWICK, NY
10990-3208
Practice Phone: 845-987-9700
Practice Fax:
1639001027 — HAYUN KIM
Practice Location Address:
1820 W ORANGEWOOD AVE STE 110
ORANGE, CA
92868-5056
Practice Phone: 714-696-2862
Practice Fax: 714-242-9308
1679405914 — HIEU GIA PHAM
Practice Location Address:
1820 W ORANGEWOOD AVE STE 110
ORANGE, CA
92868-5056
Practice Phone: 714-696-2862
Practice Fax: 714-242-9308
1669304903 — YASMIN MOKHTAR ABDI
Practice Location Address:
1820 W ORANGEWOOD AVE STE 110
ORANGE, CA
92868-5056
Practice Phone: 714-696-2862
Practice Fax: 714-242-9308
1730011073 — KYLA JANE FULMER
Practice Location Address:
1820 W ORANGEWOOD AVE STE 110
ORANGE, CA
92868-5056
Practice Phone: 714-696-2862
Practice Fax: 714-242-9308
1073445326 — BEATRIZ LICON
Practice Location Address:
1820 W ORANGEWOOD AVE STE 110
ORANGE, CA
92868-5056
Practice Phone: 714-696-2862
Practice Fax: 714-242-9308

Directions to “ CONNIE SUMIN JIN ” 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.