JI EUN VONGPHOE
NPI 1962034199
Nurse Practitioner - Primary Care in Rancho Cucamonga, CA

Active since February 05, 2020
12341 ALAMO DR, RANCHO CUCAMONGA, CA 91739(323) 829-5485 Get Directions Write a Review

NPPES record last updated: February 5, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ji Eun Vongphoe NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JI EUN VONGPHOE (NPI 1962034199) is an individual primary care provider in Rancho Cucamonga, California, licensed in California (NP95010302) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1962034199
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameJI EUN VONGPHOE
Location Address12341 ALAMO DRRancho Cucamonga, CA 91739-2290
Mailing Address12341 Alamo DrRancho Cucamonga, CA 91739-2290 · (323) 829-5485
Sole ProprietorYes
Enumeration DateFebruary 5, 2020
NPI 1962034199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in CA · NP95010302
12341 ALAMO DR, Rancho Cucamonga, CA 91739

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ji Eun Vongphoe's NPI number?

The NPI number for Ji Eun Vongphoe is 1962034199. It was assigned to this individual provider in the NPPES registry on February 5, 2020.

Where is Ji Eun Vongphoe located?

Ji Eun Vongphoe practices at 12341 Alamo Dr, Rancho Cucamonga, CA 91739. The listed phone number is (323) 829-5485.

What is Ji Eun Vongphoe's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Ji Eun Vongphoe was last updated on February 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.