Da Jung Albus, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP 23587 Issued in CA

Practice address

3570 Louisiana St
San Diego, CA 92104-4023

Phone

(989) 506-6598

NPI assigned

Sep 14, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kimberly Da June McDowell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1720536147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3570 LOUISIANA ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921044023",
            "telephone_number": "989-506-6598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 LOUISIANA ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921044023",
            "telephone_number": "989-506-6598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBUS",
        "first_name": "DA JUNG",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-14",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP 23587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "MCDOWELL",
            "middle_name": "DA JUNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jay Albrandt, PTA
• Charles Patrick Albrecht
• Nina Ann Albrecht, RADT
• Adela Carmona Albrektsen, L.AC.
• Kelsey Ann Albright, PA
• Rhea Alcafaras
• Betsabe Alcaide
• Francisca Alcaide
• Jennifer Frances Syverson Alcaide, LCSW
• Kimberly Alcaide, RN

• Speech-Language Pathologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.