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

Ji Eun Vongphoe

Individual provider Primary Care Nurse Practitioner · NPI 1962034199

Ji Eun Vongphoe is a Primary Care Nurse Practitioner in Rancho Cucamonga, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020

Practice location Address checks out

12341 Alamo Dr
Rancho Cucamonga, CA 91739-2290
Phone: (323) 829-5485
Show map & directions

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

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence NP95010302 (CA)

Record details

NPI number1962034199
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 5, 2020
Last updated in NPPESFebruary 5, 2020
Certification dateFebruary 5, 2020

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