DR. ANGELA H. JUN (NPI# 1689725566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689725566 |
| Entity Type | Individual |
| Full Name | DR. ANGELA H. JUN |
| Other Name | MS. HAE JEONG JO |
| Credential | N.P. |
| Practice Address |
11911 Artesia Blvd Cerritos CA 90701-4065 |
| Mailing Address |
141 Hollow Tree Irvine CA 92618-0839 |
| Practice Telephone | 5624027622 |
| Mailing Telephone | 7143199634 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-05-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
15836 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R.N. 482413 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DRIVERS LICENSE | B3210479 | 01 |
| CA | BOARD CERTIFICATION | 2005009533 | 01 |
| Street Address |
11911 ARTESIA BLVD |
| City | CERRITOS |
| State | CA |
| Zip Code | 90701-4065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710073812 | Personal Best Physical Therapy | Physical Therapist | 11911 Artesia Blvd, Suite 207, Cerritos, CA 90701-4065 | 2006-10-05 |
| 1871039487 | Pure Care Hospice, Inc. | Hospice Care, Community Based | 11911 Artesia Blvd, Suite 208, Cerritos, CA 90701-4065 | 2017-01-06 |
| 1336540087 | Han Orthopaedics | Clinic/Center | 11911 Artesia Blvd, Suite 105, Cerritos, CA 90701-4065 | 2014-09-12 |
| 1235540741 | John Kim M.d. A Professional Corporation | Family Medicine | 11911 Artesia Blvd, Suit #101, Cerritos, CA 90701-4065 | 2014-05-19 |
| 1386078327 | Teresa Jiwon Kim | Nurse Practitioner | 11911 Artesia Blvd, Ste#101, Cerritos, CA 90701-4065 | 2013-08-27 |
| 1194013110 | Angels of The Valley Hospice Care South Bay | Hospice Care, Community Based | 11911 Artesia Blvd, Suite 104a, Cerritos, CA 90701-4065 | 2011-07-11 |
| 1538477278 | Reemar Medical Group, Inc. | Specialist | 11911 Artesia Blvd, Suite 104-b, Cerritos, CA 90701-4065 | 2010-09-15 |
| 1740512235 | Shawn T. Van Enoo, D.p.m. A Professional Corporation | Podiatrist | 11911 Artesia Blvd, #103, Cerritos, CA 90703-4070 | 2010-02-08 |
| 1871768663 | Cerritos Medical Center, Inc | Family Medicine | 11911 Artesia Blvd, Ste 101, Cerritos, CA 90701-4065 | 2008-04-23 |
| 1104031715 | Lorraine Monica Johnson | Chiropractor | 11911 Artesia Blvd, Cerritos, CA 90701-4065 | 2007-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093364770 | Cerritos Family Denal Center | Clinic/Center | 20106 S Blvd Ste A & B, Cerritos, CA 90701 | 2019-09-05 |
| 1588121248 | Trinh Thi Bui D.d.s.a Dental Corporation | Clinic/Center | 18510 Gridley Rd, Artesia, CA 90701 | 2019-02-28 |
| 1497226344 | Primer Ignacio Bayani Usita | Dental Assistant | 11635 E. South Street, Artesia, CA 90701 | 2018-12-17 |
| 1891214037 | Cho & Kang Dental Corp | Dentist | 11960 Artesia Blvd Suite 200, Artesia, CA 90701 | 2017-09-19 |
| 1710353065 | Anasuyaben Dahyalal Jani | Nurse Practitioner | 18422 Arline Ave Apt 3, Artesia, CA 90701 | 2015-08-20 |
| 1720473499 | Allied Rehab Services, Inc. | Clinic/Center | 11618 South St, Unit 201, Artesia, CA 90701 | 2015-03-31 |
| 1134478043 | Hamlet H. Ong | Dentist | 17906 S. Pioneer Blvd., #100, Artesia, CA 90701 | 2012-09-06 |
| 1205035169 | John Shen | Dentist | 18369 Pioneer Blvd, Artesia, CA 90701 | 2007-07-12 |
| 1023141991 | Norman Chow | Dentist | 11635 East South St, Artesia, CA 90701 | 2007-03-13 |
| 1629100896 | Chau Hue Vu | Dentist | 11635 East South Street, Childrens Dental Bldg, Artesia, CA 90701 | 2007-03-12 |
| Find all providers in zip 90701 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414691 | Connie Ju-hye Chung | Nurse Practitioner | 11911 Artesia Blvd Ste 101, Cerritos, CA 90701-4070 | 2020-07-19 |
| 1407407083 | Maria Nina Feniza Quimpo | Nurse Practitioner | 12041 Bertha St, Cerritos, CA 90703-7556 | 2019-09-24 |
| 1487201083 | Kathleen Constantino | Nurse Practitioner | 11329 Yearling St, Cerritos, CA 90703-6560 | 2019-08-20 |
| 1154802593 | Jean Michelle Mendiola Mayuga | Nurse Practitioner | 10952 Elena St, Cerritos, CA 90703-1509 | 2018-08-23 |
| 1295259141 | Miyeon Vivienne Lee | Nurse Practitioner | 13337 South Street #158, Cerritos, CA 90703 | 2017-08-02 |
| 1609224708 | Mark Christian Sampang | Nurse Practitioner | 19706 Ray Cir, Cerritos, CA 90703-7546 | 2016-05-31 |
| 1679935308 | Angela Ngozi Nwosu | Nurse Practitioner | 19719 Jacob Ave, Cerritos, CA 90703-7527 | 2016-03-22 |
| 1851775639 | Heather Crabtree Fitchner | Nurse Practitioner | 12989 Towne Center Dr, Cerritos, CA 90703-8549 | 2015-07-12 |
| 1134513997 | Janell Ocampo | Nurse Practitioner | 11402 South St, Cerritos, CA 90703-6611 | 2015-03-19 |
| 1023409620 | Cynthia De Jarnett | Nurse Practitioner | 12900 Park Center Dr., #150, Cerritos, CA 90703 | 2015-02-18 |
| Find all providers in CERRITOS | ||||
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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.