Song, Jong E

Song, Jong E is an individual health care provider with primary practice located at 24907 Sunnymead Blvd Ste E, Moreno Valley CA 92553. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Song, Jong E can be contacted via phone (951) 242-6009.

Contact Information

Primary practice address
24907 Sunnymead Blvd Ste E Moreno Valley CA 92553
Phone: (951) 242-6009
Fax: (951) 247-7498
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A34264 California

Profile Details

NPI number 1437169950
LBN Legal business name Song, Jong E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 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 1437169950 NPPES
California MEDICAID 00A342640

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