| Doctor Name: | MS. JUNG EUN YIM |
| NPI Number: | 1043643737 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P |
| License Number: | 22861 |
| Business Practice Address: | 9828 Garden Grove Blvd Ste 201 Garden Grove, CA - 928441659 |
| Business Phone Number: | 7145309633 |
| Business Fax Number: | 7145304410 |
| Mailing Address: | 9828 Garden Grove Blvd Ste 201, GARDEN GROVE |
| State: | CA |
| Postal Code: | 928441659 |
| Phone Number: | 7145309633 |
| Fax Number: | 7145304410 |
| NPI Enumeration Date: | 08/16/2013 |
| NPI Last Update Date: | 08/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 22861 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |