JESSICA CHUN


Address: 5318 Crenshaw Blvd, Los Angeles, CA 90043-1810
Phone: 3232936291

JESSICA CHUN (NPI# 1619421864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619421864
Entity Type Individual
Full Name JESSICA CHUN
Credential B.S.
Practice Address 5318 Crenshaw Blvd
Los Angeles
CA 90043-1810
Practice Telephone 3232936291
Practice Fax Number 3232931091
Mailing Telephone 3232936291
Mailing Fax Number 3232931091
Enumeration Date 2016-08-04
Last Update Date 2016-08-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
R1234400716 CA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA CCAPP R1234400716 01

Other Providers JESSICA CHUN

NPI Name Taxonomy Address Enumeration
1932753795 Jessica Joo Young Chun Technician 1928 E Charleston Blvd, Las Vegas, NV 89104-1992 2019-07-30
1528466737 Jessica Chun Registered Nurse 3300 Gallows Rd, Falls Church, VA 22042-3307 2014-12-22
1922422104 Jessica Chun Social Worker 234 E 149th St, Bronx, NY 10451-5504 2014-02-10
1023392321 Jessica H Chun Obstetrics & Gynecology 39400 Paseo Padre Pkwy, Kaiser Permanente, Fremont, CA 94538-2310 2011-10-05

Office Location

Street Address 5318 CRENSHAW BLVD
City LOS ANGELES
State CA
Zip Code 90043-1810

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437492659 Asian American Drug Abuse Program, Inc Substance Abuse Rehabilitation Facility 5318 Crenshaw Blvd, Los Angeles, CA 90043-1810 2013-04-05
1891394672 Norma Cabral Counselor 5318 Crenshaw Blvd, Los Angeles, CA 90043-1810 2020-10-22
1811595788 Nydia Leon Counselor 5318 Crenshaw Blvd, Los Angeles, CA 90043-1810 2020-10-13
1811504699 Jessie Cho Counselor 5318 Crenshaw Blvd, Los Angeles, CA 90043-1810 2020-09-25
1417587015 James M Stinson Counselor 5318 Crenshaw Blvd, Los Angeles, CA 90043-1810 2020-01-22
1902448038 Stephen Wilson Jr. Counselor 5318 Crenshaw Blvd, Los Angeles, CA 90043-1810 2019-10-10
1780225532 Fumiko Irene Fukumoto Gonzales Counselor 5318 Crenshaw Blvd, Los Angeles, CA 90043-1810 2019-10-02
1043779507 Demetria Jarmon Counselor 5318 Crenshaw Blvd, Los Angeles, CA 90043-1810 2019-03-14
1831656297 Letrelle Ashley Drake Counselor 5318 Crenshaw Blvd, Los Angeles, CA 90043-1810 2019-02-21
1477035434 Tommy Rendon Sr. Counselor 5318 Crenshaw Blvd, Los Angeles, CA 90043-1810 2018-09-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841772209 Ichizo Yamada Counselor 5318 S Crenshaw Blvd., Los Angeles, CA 90043 2018-09-02
1568961613 Marnelle Mascardo Counselor 5318 S. Crenshaw Blvd., Los Angeles, CA 90043 2018-02-05
1700315199 Positive Imagery Foundation Prevention Professional 5906 7th Avenue, Suite 1, Los Angeles, CA 90043 2017-06-08
1770946303 Toby Lapesarde Licensed Vocational Nurse 5300 Angeles Vista Boulevard, Los Angeles, CA 90043 2016-03-31
1134591480 Coast Wise Solution Case Management 2728 54th St, Los Angeles, CA 90043 2015-10-27
1033589155 Nina Gonzaga Marriage & Family Therapist 4401 Crendshaw Blvd, #300, Los Angeles, CA 90043 2015-10-01
1861743189 Donna M. Tizenor-tate Counselor 5300 Angeles Vista Blvd., Los Angeles, CA 90043 2012-09-26
1952657736 Willie Frank Sibley Jr. General Practice 4330 Monteith Dr, Los Angeles, CA 90043 2012-07-30
1639449119 Nelson M Okeke Counselor 8814 S. Western Ave, La, CA 90043 2011-12-30
1578840799 Economic Services, Incorporated Exclusive Provider Organization 5144 Crenshaw Blvd., Los Angeles, CA 90043 2011-11-16
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1578179941 Leo Vasquezawarez Counselor 470 E 3rd St # Ab, Los Angeles, CA 90013-1629 2020-09-21
1801401963 Manuel Gambino Counselor 11301 Wilshire Blvd Bldg 337, Los Angeles, CA 90073-1003 2020-09-14
1871107219 Frances Field Counselor 3739 Mentone Ave Apt 7, Los Angeles, CA 90034-6444 2020-09-02
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1821615220 Sarah Payne Counselor 3217 North Eastern Ave, Los Angeles, CA 90032 2020-07-01
1376168070 Mercedes Elkoff Counselor 1745 Warnall Ave, Los Angeles, CA 90024-5358 2020-06-09
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Competitor

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City LOS ANGELES
Zip Code 90043

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Dataset Information

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.

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