Provider Demographics
NPI:1659478907
Name:JUN, JEANY KIM (PHARMD, APH, MPH)
Entity Type:Individual
Prefix:DR
First Name:JEANY
Middle Name:KIM
Last Name:JUN
Suffix:
Gender:F
Credentials:PHARMD, APH, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535 WATSON DR
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:91711-4817
Mailing Address - Country:US
Mailing Address - Phone:909-607-0345
Mailing Address - Fax:
Practice Address - Street 1:CITRUS VALLEY HEALTH PARTNERS
Practice Address - Street 2:1115 S SUNSET AVE
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91790
Practice Address - Country:US
Practice Address - Phone:626-857-3477
Practice Address - Fax:626-857-3138
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2017-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA100011835P2201X
CA529591835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care