Ji Yun Nam
Psychologist, Clinical in Fountain Valley, CA. Individual provider (NPI-1).
NPI number1982159349
StatusActive
Last updated in NPPESDec 30, 2025
Details
- NPI
- 1982159349
- Entity type
- Individual (NPI-1)
- Name
- Ji Yun Nam
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 16, 2016
- Certification date
- Dec 30, 2025
- Last updated
- Dec 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 31479 | CA | Yes |
Other names
- Jiyun Nam (Other Name)
Practice location
10061 Talbert Ave Ste 200Fountain Valley, CA 92708-5123
Phone 310-845-6151
Mailing address
21143 Hawthorne Blvd # 241Torrance, CA 90503-4615
Phone 310-845-6151
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