| Doctor Name: | JUNG-OK HA |
| NPI Number: | 1104092667 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | NP20367 |
| Business Practice Address: | 1500 Duarte Rd Duarte, CA - 910103012 |
| Business Phone Number: | 6262568790 |
| Business Fax Number: | 6262568798 |
| Mailing Address: | 1500 Duarte Rd, DUARTE |
| State: | CA |
| Postal Code: | 910103012 |
| Phone Number: | 6262564673 |
| Fax Number: | 6262568798 |
| NPI Enumeration Date: | 05/05/2008 |
| NPI Last Update Date: | 07/29/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | NP20367 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |