Feng, Jack C
Feng, Jack C is an individual health care provider with primary practice located at 27871 Medical Center Rd Suite 200, Mission Viejo CA 92691-6404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Feng, Jack C can be contacted via phone (949) 364-5090.Contact Information
Primary practice address
27871 Medical Center Rd Suite 200
Mission Viejo CA 92691-6404
Phone: (949) 364-5090
Fax: (949) 542-8710
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | A64319 | California |
Profile Details
| NPI number | 1710964481 |
|---|---|
| LBN Legal business name | Feng, Jack C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 23rd, 2005 |
| Last updated | Oct 28th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710964481 | NPPES |
| California | MEDICAID | 00A643190 |
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