DR. SARAH JIEUN CHUNG (NPI# 1255750824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255750824 |
Entity Type | Individual |
Full Name | DR. SARAH JIEUN CHUNG |
Credential | MD |
Practice Address |
1330 W Ramsey St Banning CA 92220-4477 |
Practice Telephone | 9518497142 |
Practice Fax Number | 9518491762 |
Mailing Telephone | 9518497142 |
Mailing Fax Number | 9518497162 |
Enumeration Date | 2014-04-10 |
Last Update Date | 2019-10-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
148753 | CA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104151323 | Sarah Chung | Optometrist | 6731 Westminster Blvd, 102, Westminster, CA 92683-3794 | 2009-10-06 |
1063916757 | Sarah Chung | Behavioral Analyst | 1012 College Rd, Dover, DE 19904-6506 | 2018-03-19 |
1699171298 | Sarah Chung | Optometrist | 11540 Santa Monica Blvd, Los Angeles, CA 90025-7905 | 2014-11-08 |
1386049294 | Sarah Y Chung | Psychologist | 1 Park Ave Fl 8, New York, NY 10016-5802 | 2014-11-04 |
1861819294 | Sarah Chung | Internal Medicine | 1959 Ne Pacific St, Box 356421, Seattle, WA 98195-6421 | 2014-03-24 |
1770922981 | Sarah Chung | Pharmacist | 1370 Norton St, Rochester, NY 14621-3936 | 2013-06-20 |
1780939421 | Sarah I Chung | Pharmacist | 9999 Holman Rd Nw, Seattle, WA 98117-2041 | 2012-07-18 |
1194099010 | Sarah Eun-mi Chung | Chiropractor | 1145 19th St Nw, 501, Washington, DC 20036-3701 | 2012-02-24 |
1366622177 | Sarah Seung-ah Chung | Dentist | 2155 Webster St, San Francisco, CA 94115-2333 | 2007-11-08 |
Street Address |
1330 W RAMSEY ST |
City | BANNING |
State | CA |
Zip Code | 92220-4477 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245345677 | County of Riverside | Community/Behavioral Health | 1330 W Ramsey St, Banning, CA 92220-4477 | 2006-08-19 |
1912538091 | Noemi Flores | Social Worker | 1330 W Ramsey St, Banning, CA 92220-4477 | 2020-01-28 |
1598305237 | Faith Kathryn Elizabeth La Bella | Case Manager/Care Coordinator | 1330 W Ramsey St, Banning, CA 92220-4477 | 2020-01-10 |
1700420817 | Katelyn Temple Hutchinson Arellano | Licensed Psychiatric Technician | 1330 W Ramsey St, Banning, CA 92220-4477 | 2019-10-31 |
1558825703 | Darren Tempest Burtenshaw | Psychologist | 1330 W Ramsey St, Banning, CA 92220-4477 | 2019-01-22 |
1043799430 | Megan Holmberg | Counselor | 1330 W Ramsey St, Banning, CA 92220-4477 | 2018-08-07 |
1376055954 | Mayella Castillo | Counselor | 1330 W Ramsey St, Banning, CA 92220-4477 | 2017-11-03 |
1346778370 | Tania Guadalupe Garcia Avalos | Counselor | 1330 W Ramsey St, Banning, CA 92220-4477 | 2017-06-04 |
1023551587 | Trafton Seratt | Counselor | 1330 W Ramsey St, Banning, CA 92220-4477 | 2016-11-30 |
1972045524 | Norma Valdez | Counselor | 1330 W Ramsey St, Banning, CA 92220-4477 | 2016-11-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962056523 | Golden View Guest Home, Inc. | Assisted Living Facility | 5466 West Wilson, Banning, CA 92220 | 2019-07-31 |
1780246157 | Fjs Hearing Professionals | Hearing Instrument Specialist | 3559 W Ramsey Ave Suit C-2, Banning, CA 92220 | 2019-07-05 |
1790237832 | Jennifer De Geus | Counselor | 1627 Hargrave St., Banning, CA 92220 | 2016-10-25 |
1427447507 | Dalonna Blackwell | Counselor | 2781 W. Ramsey St., Banning, CA 92220 | 2015-01-13 |
1639575962 | Eunjung J. Jung Choi | Dentist | 300 S Highland Springs Ave Ste 2l, Banning, CA 92220 | 2014-11-13 |
1861810244 | Genevra Diana Glenn | Counselor | 2781 W Ramsey, Suite 1, Banning, CA 92220 | 2014-04-02 |
1841617420 | Kristen Lew | Internal Medicine | 6109 W.ramsey Street, Banning, CA 92220 | 2014-03-21 |
1588917884 | Jamison William Murphy | Military Health Care Provider | Uss Howard Ddg 83, Fpo, AP 92220 | 2012-10-24 |
1972871390 | John Hong | Pharmacist | 60 N Highlandsprings, Beaumont, CA 92220 | 2011-12-13 |
1679855936 | Lydia Session | Marriage & Family Therapist | 1627 S. Hargrave, Banning, CA 92220 | 2011-09-13 |
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Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
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1275190068 | Allan S Abrams Md Inc | Psychiatry & Neurology | 4726 Winnetka Ave, Woodland Hills, CA 91364-4737 | 2019-05-28 |
1225527427 | Better Life Therapy, Inc. | Psychiatry & Neurology | 9520 Escondido Canyon Rd, Santa Clarita, CA 91390-4811 | 2018-05-03 |
1821515099 | J. Kirk Hartman, M.d. | Psychiatry & Neurology | 3860 Blackhawk Rd # 120, Danville, CA 94506-4905 | 2017-08-28 |
1912432055 | Centered Health LLC | Psychiatry & Neurology | 6422 W 6th St, Los Angeles, CA 90048-4714 | 2017-04-26 |
1255871182 | Carol R Harrus | Psychiatry & Neurology | 517 Patricia Ln, Palo Alto, CA 94303-2856 | 2017-02-25 |
1437539509 | Ehab Yacoub, Md Inc. | Psychiatry & Neurology | 1225 W 190th St Ste 470, Gardena, CA 90248-4316 | 2015-06-04 |
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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.