Most Relevant Information
Provider Data
| NPI Number: | 1003465857 |
| Provider Name: | HA EUN JUNG |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/04/2019 |
| Last Updated: | 09/04/2019 |
Provider Practice Location
17911 SKY PARK CIR STE E
IRVINE
CA
926144303
Practice Location Phone/Fax
| Phone: | 9492020257 |
| Fax: |
Provider Mailing Location
2973 HARBOR BLVD # 136
COSTA MESA
CA
926263912
Provider Mailing Phone/Fax
| Phone: | 9492020257 |
| Fax: |