Mina Misoon Jung · Mi Soon Jung · Psychiatric/Mental Health Nurse Practitioner

5901 E 7th St, Long Beach, CA 90822-5201

Overview

Mina Misoon Jung is a Psychiatric/Mental Health Nurse Practitioner practicing in Long Beach, California. The National Provider Identifier (NPI) is #1669721700, which was assigned on September 5, 2012, and the registration record was last updated on June 9, 2025. The practitioner's main practice location is at 5901 E 7th St, Long Beach, CA 90822-5201; the contact telephone number is 5627081808. The primary taxonomy of Mina Misoon Jung is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), with specialization in Psychiatric/Mental Health. Mina Misoon Jung is licensed to practice in the state of California (#23192), California (#627394).

Provider Information

NPI 1669721700
Entity Type Individual
Provider Name MINA MISOON JUNG
Other Name MI SOON JUNG
(Former Name)
Gender Female
Credential NP
Other Credential RN
Practice Address 5901 E 7th St
Long Beach
CA 90822-5201
Practice Telephone 5627081808
Mailing Address 5901 E 7th St
Long Beach
CA 90822-5201
Mailing Telephone 5627081808
Certification Date 2025-06-09
Enumeration Date 2012-09-05
Last Update Date 2025-06-09
Is Sole Proprietor Y

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y363LP0808XNurse PractitionerPsychiatric/Mental Health23192CA
N163WE0003XRegistered NurseEmergency627394CA

Taxonomy Information

Primary Taxonomy

Code 363LP0808X
Taxonomy Psychiatric/Mental Health Nurse Practitioner
Classification Nurse Practitioner
Specialization Psychiatric/Mental Health
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: Definition to come...

Other Taxonomy

Code 163WE0003X
Taxonomy Emergency Registered Nurse
Classification Registered Nurse
Specialization Emergency
Grouping Nursing Service Providers
Definition: Definition to come...

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Whitney Henderson 4175 Woodland Park Dr Sw, Atlanta, GA 30331-3705Psychiatric/Mental Health Nurse Practitioner2025-11-08
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Solta Wellness 1188 County St, Somerset, MA 02726-5140Psychiatric/Mental Health Nurse Practitioner2025-11-07
Nuria Vadine Edouard 5486 Barnstead Cir, Lake Worth, FL 33463-6673Psychiatric/Mental Health Nurse Practitioner2025-11-08
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Location Information

Street Address 5901 E 7TH ST
City LONG BEACH
State CA
Zip Code 90822-5201
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Kevin Becerra 5901 E 7th St, Long Beach, CA 90822-5201Nurse Practitioner2025-08-18
Sovannaroth Phang 5901 E 7th St, Long Beach, CA 90822-5201Student in an Organized Health Care Education/Training Program2025-06-20
Marilse Palma 5901 E 7th St, Long Beach, CA 90822-5201Student in an Organized Health Care Education/Training Program2025-08-27
Socorro Renee M Cruz 5901 E 7th St, Long Beach, CA 90822-5201Gerontology Occupational Therapist2025-06-16
David H Lee 5901 E 7th St, Long Beach, CA 90822-5201Psychiatric/Mental Health Nurse Practitioner2025-06-03
Sonia Cena 5901 E 7th St, Long Beach, CA 90822-5201Psychiatric/Mental Health Nurse Practitioner2025-08-08
Brianna Yesennia Penido 5901 E 7th St, Long Beach, CA 90822-5201Student in an Organized Health Care Education/Training Program2025-06-11
Peter Carino 5901 E 7th St, Long Beach, CA 90822-5201Religious Nonmedical Practitioner2025-08-06
Celine Tran 5901 E 7th St, Long Beach, CA 90822-5201Pharmacist2025-10-15
Derek Antoku 5901 E 7th St, Long Beach, CA 90822-5201Interventional Cardiology Physician2018-06-13
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Richard Gardner Williams 5901 E Seventh St, Radiation Oncology 114a, Long Beach, CA 90822-5201Dermatology Physician2006-10-18

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Kimberly J Scheer 5901 E. 7th Street, Sws-122, Long Beach, CA 90822Clinical Social Worker2006-07-11
Michelle Kelsey-Plummer · Michelle Kelsey Plummer 5901 East 7th Street, Long Beach, CA 90822Clinical Social Worker2006-07-17
Peter Hansen 5901 East 7th Street, Long Beach, CA 90822Pharmacist2006-08-15
Cassandra October 5901 East Seventh Street, Veterans Administration Medical Center, Long Beach, CA 90822Clinical Social Worker2006-10-25
Stephanie Jane Simon 5901 E. 7th St. (06/116b), Long Beach, CA 90822Recreation Therapist2025-08-05

Providers in the same city

Provider NameAddressTaxonomyEnumeration Date
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Harper N Tassie 3950 Long Beach Blvd Ste 101, Long Beach, CA 90807-5410Mental Health Counselor2025-10-10
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Toni Mary Brown 431 E 6th St, Long Beach, CA 90802-1424Counselor2025-11-06
Vernon O'Neal 1775 Chestnut Ave, Long Beach, CA 90813-1674Addiction (Substance Use Disorder) Counselor2025-09-02
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.