Provider Demographics
NPI:1912886474
Name:JUNG, SUNG CHEOL (FNP)
Entity type:Individual
Prefix:MR
First Name:SUNG
Middle Name:CHEOL
Last Name:JUNG
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:JOSHUA
Other - Middle Name:
Other - Last Name:JUNG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP
Mailing Address - Street 1:13182 YOCKEY ST APT 32
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92844-2002
Mailing Address - Country:US
Mailing Address - Phone:714-614-3420
Mailing Address - Fax:
Practice Address - Street 1:13182 YOCKEY ST APT 32
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92844-2002
Practice Address - Country:US
Practice Address - Phone:714-614-3420
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-29
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95036366363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty