Jung, Dale G.

Jung, Dale G. is an individual health care provider with primary practice located at 200 Muir Rd , Martinez CA 94553-4614. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Jung, Dale G. can be contacted via phone (925) 372-1000.

Contact Information

Primary practice address
200 Muir Rd Martinez CA 94553-4614
Phone: (925) 372-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X G53045 California

Profile Details

NPI number 1396823472
LBN Legal business name Jung, Dale G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Jul 8th, 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 1396823472 NPPES
California MEDICAID 00G530450

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