IndividualActive
Jiwon Back
NPI 1750772257 · Marriage & Family Therapist · Fullerton, CA
Jiwon Back is a Marriage & Family Therapist provider in Fullerton, CA (NPI 1750772257).
Provider details
- NPI number
- 1750772257
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 93786 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
112 E Amerige Ave Ste 209
Fullerton, CA 92832-1920
Phone: (714) 253-4506
Street-level locationGet directions
Mailing address
112 E Amerige Ave Ste 209
Fullerton, CA 92832-1920
Registry dates
- Enumerated
- 2015-02-05
- Last updated
- 2023-01-23
- Certified
- 2023-01-23
Frequently asked questions
- What is Jiwon Back's NPI number?
- Jiwon Back's National Provider Identifier (NPI) is 1750772257, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jiwon Back's specialty?
- Jiwon Back is listed in the NPPES registry with a primary specialty of Marriage & Family Therapist (Behavioral Health & Social Service Providers).
- Where is Jiwon Back located?
- Jiwon Back's practice location on file with NPPES is 112 E Amerige Ave Ste 209, Fullerton, CA 92832-1920.
- What is Jiwon Back's phone number?
- The practice phone number listed in the NPPES registry for Jiwon Back is (714) 253-4506.
- Is Jiwon Back's NPI active?
- Yes — Jiwon Back's NPI (1750772257) is active in the NPPES registry as of the last update on 2023-01-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.