Jinwoo Chung

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

68441 Issued in CA

Practice address

2077 Owens Dr
Fullerton, CA 92833-5750

Phone

(714) 732-3185

NPI assigned

Sep 29, 2015

Last updated

Sep 29, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443484800000",
    "number": "1235509589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2077 OWENS DR",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928335750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2077 OWENS DR",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928335750",
            "telephone_number": "714-732-3185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "JINWOO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "68441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kay Chun, HIS
• Alexander Chung, PHARM.D.
• CHI Hung Mike Chung
• Fangli Chung, L.AC.
• Hyun Chung, OTD, OTR/L
• Kimi Kyungri Chung, MS, CCC-A
• Minsun Chung
• Paul S Chung, M.D.
• Yang Chung, DDS
• Yoon Jo Chung

• Clinical Social Worker in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.