MR. YOUNG KWANG JU (NPI# 1164741682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164741682 |
| Entity Type | Individual |
| Full Name | MR. YOUNG KWANG JU |
| Practice Address |
1202 Morena Blvd Ste 203 San Diego CA 92110-3843 |
| Practice Telephone | 6193983261 |
| Practice Fax Number | 6192752023 |
| Mailing Telephone | 6193983261 |
| Mailing Fax Number | 6192752023 |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2011-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Street Address |
1202 MORENA BLVD STE 203 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92110-3843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821150780 | Brenda A. Estrada | Marriage & Family Therapist | 1202 Morena Blvd Ste 203, San Diego, CA 92110-3843 | 2006-12-15 |
| 1346703154 | Suse Sampaio Simoes Argollo | Student in an Organized Health Care Education/Training Program | 1202 Morena Blvd Ste 203, San Diego, CA 92110-3843 | 2019-04-09 |
| 1447715198 | Ariel Alejandro Castillo | Counselor | 1202 Morena Blvd Ste 203, San Diego, CA 92110-3843 | 2019-02-06 |
| 1477060937 | Dorothy Delidiich Porter | Counselor | 1202 Morena Blvd Ste 203, San Diego, CA 92110-3843 | 2018-01-05 |
| 1508386434 | Spencer Ross Chernick | Marriage & Family Therapist | 1202 Morena Blvd Ste 203, San Diego, CA 92110 | 2017-06-21 |
| 1407380561 | Heidi Mendez | Student in an Organized Health Care Education/Training Program | 1202 Morena Blvd Ste 203, San Diego, CA 92110-3843 | 2017-04-16 |
| 1912438615 | Joel Gamache | Marriage & Family Therapist | 1202 Morena Blvd Ste 203, San Diego, CA 92110-3843 | 2017-03-23 |
| 1619408515 | Celeste Goytia | Case Manager/Care Coordinator | 1202 Morena Blvd Ste 203, San Diego, CA 92110-3843 | 2017-03-22 |
| 1649711128 | Erin Elizabeth Alcantara | Marriage & Family Therapist | 1202 Morena Blvd Ste 203, San Diego, CA 92110-3843 | 2017-03-16 |
| 1578926192 | Katelyn Rahlfs | Marriage & Family Therapist | 1202 Morena Blvd Ste 203, San Diego, CA 92110-3843 | 2016-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669021713 | Ruben Daniel Gutierrez | Marriage & Family Therapist | 4141 Pacific Coast Hwy, San Diego, CA 92110 | 2019-09-10 |
| 1548724081 | Denise Ellen Thompson | Counselor | 3255 Wings Street, San Diego, CA 92110 | 2019-01-29 |
| 1801378716 | Michelle Lisa Jean Crawford | Student in an Organized Health Care Education/Training Program | 3767 Central Avenue, San Diego, CA 92110 | 2018-09-06 |
| 1427539048 | Allison Turrell | Case Manager/Care Coordinator | 4930 Naples Street, San Diego, CA 92110 | 2018-08-22 |
| 1750872768 | Matthew Langworthy | Physical Therapist | 3405 Kenyon St Ste 212, San Diego, CA 92110 | 2018-05-24 |
| 1245748342 | The One Health Boutique, LLC | Chiropractor | 5350 Riley St, San Diego, CA 92110 | 2018-01-11 |
| 1437670155 | Monique A Fernandez | Counselor | 3132 Jefferson Street, San Diego, CA 92110 | 2017-07-03 |
| 1538510391 | Mayu Winters | Registered Nurse | 853 Rosecrans St, San Diego, CA 92110 | 2016-06-23 |
| 1376998864 | Briniti Ichull | Specialist | 3941 Kurtz St, San Diego, CA 92110 | 2016-05-03 |
| 1912352576 | Healthcare Services, Inc. | Substance Abuse Rehabilitation Facility | 3880 Rosecrans Street, San Diego, CA 92110 | 2016-05-02 |
| Find all providers in zip 92110 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346359 | Christina L Thomas | Counselor | 4611 Alamo Dr, San Diego, CA 92115-5907 | 2020-11-05 |
| 1639779101 | Paula Perez | Counselor | 5882 Adobe Falls Rd, San Diego, CA 92120-4600 | 2020-10-26 |
| 1558974378 | Monica Dixon | Counselor | 4930 Naples St Fl 1, San Diego, CA 92110-3820 | 2020-08-31 |
| 1952911612 | Shannon Kathleen Nolte | Counselor | 13111 Kellam Ct Apt 9, San Diego, CA 92130-1251 | 2020-08-06 |
| 1033728498 | Hala Kadhem | Counselor | 1664 Broadway, El Cajon, San Diego, CA 92021 | 2020-07-30 |
| 1487279493 | Christi Susan Leyva | Counselor | 10417 Crosscreek Ter, San Diego, CA 92131-1344 | 2020-06-15 |
| 1285256099 | Jehna Barnes | Counselor | 3636 Camino Del Rio N, San Diego, CA 92108-1703 | 2020-05-14 |
| 1457973455 | Cassandra Detgen | Counselor | 5252 Orange Ave Unit 125, San Diego, CA 92115-6029 | 2020-05-12 |
| 1972131589 | Douglas Baker Marriage and Family Therapy, Inc. | Counselor | 2911 Adams Ave # 5, San Diego, CA 92116-1509 | 2020-03-30 |
| 1255966859 | Job Brunat | Counselor | 4169 38th St Apt 10, San Diego, CA 92105-1367 | 2020-03-04 |
| Find all providers in SAN DIEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.