MEDICARE: DR. JULIET W HUNG PH.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	103TC0700X	Clinical Psychologist	PSY 19009	CA

General Provider Information

NPI Number	:	1780623983
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIET W HUNG PH.D.

Provider Business Mailing Address
First Line	:	VA LOMA LINDA
Second Line	:	11201 BENTON STREET
City	:	LOMA LINDA
State	:	CA
Zip	:	92357-0001
Country	:	US
Telephone Number	:	951-817-0768
Fax Number	:

Provider Business Practice Location Address
First Line	:	VA LOMA LINDA
Second Line	:	11201 BENTON STREET
City	:	LOMA LINDA
State	:	CA
Zip	:	92357-0001
Country	:	US
Telephone Number	:	951-817-0768
Fax Number	:

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

Provider Enumeration Date	:	06/05/2006
Last Update Date	:	07/08/2007

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