Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jiwon Back

Individual provider Marriage & Family Therapist · NPI 1750772257

Jiwon Back is a Marriage & Family Therapist in Fullerton, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2015

Practice location Address checks out

112 E Amerige Ave Ste 209
Fullerton, CA 92832-1920
Phone: (714) 253-4506
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 93786 (CA)

Record details

NPI number1750772257
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 5, 2015
Last updated in NPPESJanuary 23, 2023
Certification dateJanuary 23, 2023

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