Bang, Suck Jun

Bang, Suck Jun is an sole proprietor health care provider with primary practice located at 15247 11Th St #1000, Victorville CA 92395-3727. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Bang, Suck Jun can be contacted via phone (760) 245-0102.

Contact Information

Primary practice address
15247 11Th St #1000 Victorville CA 92395-3727
Phone: (760) 245-0102
Fax: (760) 245-6171
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 00A245410 California

Profile Details

NPI number 1568562114
LBN Legal business name Bang, Suck Jun
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 24th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568562114 NPPES
California MEDICAID 00A245410

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