Jamie Jisoo Sung

General Practice Dentistry · Goleta, CA

Individual Active NPI

NPI number 1508433798

Practice location

5680 Calle Real
Goleta, CA 93117-2317
Phone
(805) 979-3037

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NPI record

NPI
1508433798
Entity type
Individual (Type 1)
Enumeration date
June 7, 2021
Last updated
August 24, 2022
Certified
August 24, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 107885 CA
Student in an Organized Health Care Education/Training Program 390200000X NA CA

Mailing address

55 McDonald Pl Unit 304
Goleta, CA 93117-2390
Phone
(949) 522-1763

Other practice locations (1)

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

About Jamie Sung

Jamie Jisoo Sung is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 5680 Calle Real, Goleta, CA 93117-2317. The NPI number 1508433798 was assigned on June 7, 2021 and the record was last updated on August 24, 2022.

Jamie Sung lists 2 licenses in the registry: #107885 (CA) for General Practice Dentistry; #NA (CA) for Student in an Organized Health Care Education/Training Program. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jamie Jisoo Sung?

The NPI number is 1508433798.

What is the phone number of Jamie Sung?

The phone number listed for the practice location is (805) 979-3037.

Where is Jamie Sung located?

5680 Calle Real, Goleta, CA 93117-2317.

What is the taxonomy code for Jamie Sung?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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