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Search › California › 106H00000X

Jiwon Back

NPI 1750772257 · on the registry since 2015 · sole proprietor

Practice

Address
112 E Amerige Ave Ste 209
Fullerton, CA 92832
Phone
(714) 253-4506
Organisation at this address
Ana Gallardo
Carepath Transport
Fruitful Therapy, Inc
Acorn Integrative Psychotherapy
Astravant Psychiatry Nursing Professional Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
106H00000X
106H00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-01-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California