Vongphoe, Ji Eun

Vongphoe, Ji Eun is an sole proprietor health care provider with primary practice located at 12341 Alamo Dr , Rancho Cucamonga CA 91739-2290. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Vongphoe, Ji Eun can be contacted via phone (323) 829-5485.

Contact Information

Primary practice address
12341 Alamo Dr Rancho Cucamonga CA 91739-2290
Phone: (323) 829-5485
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X NP95010302 California

Profile Details

NPI number 1962034199
LBN Legal business name Vongphoe, Ji Eun
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 5th, 2020
Last updated Feb 5th, 2020 - about 5 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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