Sung, Jeff D

Sung, Jeff D is an individual health care provider with primary practice located at 2021 Santa Monica Blvd Ste 245E , Santa Monica CA 90404-2132. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Sung, Jeff D can be contacted via phone (310) 829-8975.

Contact Information

Primary practice address
2021 Santa Monica Blvd Ste 245E Santa Monica CA 90404-2132
Phone: (310) 829-8975
Fax: (424) 291-4108
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A75061 California

Profile Details

NPI number 1528019304
LBN Legal business name Sung, Jeff D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Jan 25th, 2024 - about last year

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 1528019304 NPPES
California MEDICAID 00A750610

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