Jung, Timothy T K

Jung, Timothy T K is an sole proprietor health care provider with primary practice located at 3975 Jackson Street Suite 202, Riverside CA 92503-3947. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Jung, Timothy T K can be contacted via phone (951) 352-7920.

Contact Information

Primary practice address
3975 Jackson Street Suite 202 Riverside CA 92503-3947
Phone: (951) 352-7920
Fax: (951) 352-7908
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G52096 California
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X G52096 California

Profile Details

NPI number 1497717813
LBN Legal business name Jung, Timothy T K
Credentials M.D., PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2006
Last updated Jan 14th, 2010 - about 15 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 1497717813 NPPES
California MEDICAID OOG520960
California MEDICAID 00G520961
California Other ZZZ32000Z
California Other 00G520960

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