| Sori Jung, NP | |
| 
					11234 Anderson St # Mc-1516, Loma Linda, CA 92350-1716  | |
| (909) 558-4000 | |
| Not Available | 
| Full Name | Sori Jung | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 11234 Anderson St # Mc-1516, Loma Linda, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1083363980 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | 193895 (Tennessee) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | 31318 (Tennessee) | Primary | 
| Entity Name | Faculty Physicians And Surgeons Of Llusm | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981  | 
| Entity Name | Sac Health System | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1013935923 PECOS PAC ID: 4385533579 Enrollment ID: O20040315000608  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Sori Jung, NP 11234 Anderson St # Mc-1516, Loma Linda, CA 92350-1716 Ph: (909) 558-4000  | Sori Jung, NP 11234 Anderson St # Mc-1516, Loma Linda, CA 92350-1716 Ph: (909) 558-4000  | 
Holly Cornejo, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084  | |
Mrs. Kenya Neoko Singleton, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton Street, Loma Linda, CA 92357 Phone: 909-825-7084 Fax: 909-777-3874  | |
Miss Christine Eunice Kurunathan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11034 Veach St, Loma Linda, CA 92354 Phone: 909-825-7084 Fax: 909-777-3291  | |
Krista Smith,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084  | |
Kristina Pulliam Markey, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson Strreet, Loma Linda, CA 92354 Phone: 909-558-5967  | |
Lauren Trajano,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-8000  | |
Frances Rowena Mccann, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-8514  |