Jung, Susan C

Jung, Susan C is an individual health care provider with primary practice located at 923 S San Gabriel Blvd , San Gabriel CA 91776-2847. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Jung, Susan C can be contacted via phone (626) 286-8700.

Contact Information

Primary practice address
923 S San Gabriel Blvd San Gabriel CA 91776-2847
Phone: (626) 286-8700
Fax: (626) 286-8650
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A85542 California

Profile Details

NPI number 1962415588
LBN Legal business name Jung, Susan C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Sep 10th, 2015 - about 10 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 1962415588 NPPES
California MEDICAID 00A855420

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