Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jamie Jisoo Sung

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1508433798

Jamie Jisoo Sung is a Student in an Organized Health Care Education/Training Program in Goleta, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

5680 Calle Real
Goleta, CA 93117-2317
Phone: (805) 979-3037
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 714 Tiverton Ave, Los Angeles, CA 90095-8361 — (310) 825-9789

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 107885 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence NA (CA)

Record details

NPI number1508433798
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 7, 2021
Last updated in NPPESAugust 24, 2022
Certification dateAugust 24, 2022
Mailing address55 McDonald Pl Unit 304, Goleta, CA 93117-2390

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