Jeffery Ponce in Fremont - Addiction (substance Use Disorder)
Jeffery Ponce - NPI 1295923357
Jeffery Ponce is a Addiction (substance Use Disorder) in Fremont, California. Jeffery Ponce practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Jeffery Ponce is 1295923357. The last update date is 2007-10-12.
Jeffery Ponce's current location address is 4510 Peralta Blvd, Fremont, California. You can contact this provider via phone number 5107133202 and fax number 5107130684. The mailing address for Jeffery Ponce is 4510 Peralta Blvd, Fremont, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffery Ponce |
|---|---|
| Address | 4510 Peralta Blvd, Fremont, California |
| Phone Number | 5107133202 |
| Fax Number | 5107130684 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1295923357 |
|---|---|
| Provider Enumeration Date | 2007-10-12 |
| Last Updated Date | 2007-10-12 |
Provider Mailing Address Detail
| Address | 4510 Peralta Blvd |
|---|---|
| City | Fremont |
| State | California (CA) |
| Post Code | 945365755 |
| Phone Number | 5107133202 |
| Fax Number | 5107130684 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | P0412282013 |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P0412282013 | CA | BREINING INSTITUTE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jeffery Ponce by the Centers for Medicare & Medicaid Services?
The Jeffery Ponce has been issued the NPI (National Provider Identifier) 1295923357, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jeffery Ponce?
The Jeffery Ponce is situated at 4510 Peralta Blvd, in the city of Fremont, state of CA, with the zip code 945365755.
What is Jeffery Ponce's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jeffery Ponce's specialized field of practice is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of specialization is 101Ya0400X.
When was the Jeffery Ponce's 1295923357 issued?
The Jeffery Ponce's 1295923357 was issued on 2007-10-12.
As of what date were the details related to Jeffery Ponce most recently updated or revised?
The information pertaining to Jeffery Ponce, including its address, specialty, and other relevant details, was last updated or revised on 2007-10-12.
NPI Number: 1902809924
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