Provider Demographics
NPI:1689891236
Name:JUNG, HEE W (OMD)
Entity Type:Individual
Prefix:DR
First Name:HEE
Middle Name:W
Last Name:JUNG
Suffix:
Gender:M
Credentials:OMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18369 COLIMA RD
Mailing Address - Street 2:
Mailing Address - City:ROWLAND HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91748-2762
Mailing Address - Country:US
Mailing Address - Phone:626-810-4180
Mailing Address - Fax:
Practice Address - Street 1:18369 COLIMA RD
Practice Address - Street 2:
Practice Address - City:ROWLAND HTS
Practice Address - State:CA
Practice Address - Zip Code:91748-2762
Practice Address - Country:US
Practice Address - Phone:626-810-4180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC1030171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist