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

Jin Gyo Jung

Individual provider Nurse Practitioner · NPI 1669226478

Jin Gyo Jung is a Nurse Practitioner in Santa Fe Springs, California. Qualified in 2023, 3 years ago. Practices with Harbor Community Clinic Inc, a 16-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2024

Practice location Address checks out

9840 Jersey Ave Unit 8
Santa Fe Springs, CA 90670-3176
Phone: (714) 913-3086
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95029707 (CA)

Record details

NPI number1669226478
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 16, 2024
Last updated in NPPESSeptember 23, 2024
Certification dateSeptember 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Harbor Community Clinic Inc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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