Grace Eun-Kyeng Song in Banning - Family Medicine
Grace Eun-Kyeng Song - NPI 1649266826
Grace Eun-Kyeng Song is a Family Medicine in Banning, California. Grace Eun-Kyeng Song practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Grace Eun-Kyeng Song is 1649266826. The last update date is 2007-07-08.
Grace Eun-Kyeng Song's current location address is 11555 1/2 Potrero Rd, Banning, California. You can contact this provider via phone number 9518494761 and fax number 9519228436. The mailing address for Grace Eun-Kyeng Song is 11555 1/2 Potrero Rd, Banning, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Grace Eun-Kyeng Song |
|---|---|
| Address | 11555 1/2 Potrero Rd, Banning, California |
| Phone Number | 9518494761 |
| Fax Number | 9519228436 |
| Sole Proprietor | X |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1649266826 |
|---|---|
| Provider Enumeration Date | 2005-09-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11555 1/2 Potrero Rd |
|---|---|
| City | Banning |
| State | California (CA) |
| Post Code | 922206946 |
| Phone Number | 9518494761 |
| Fax Number | 9519228436 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | A73137 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Post Comment/ Review Below
What is the unique identifier code issued to Grace Eun-Kyeng Song by the Centers for Medicare & Medicaid Services (CMS)?
The Grace Eun-Kyeng Song has been assigned the NPI (National Provider Identifier) 1649266826. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Grace Eun-Kyeng Song is located?
The Grace Eun-Kyeng Song is situated at the following address: 11555 1/2 Potrero Rd, Banning, CA, 922206946.
What is Grace Eun-Kyeng Song's specialized field of practice, and what is the corresponding taxonomy classification code?
The Grace Eun-Kyeng Song's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did the Grace Eun-Kyeng Song receive its 1649266826 assignment from the Centers for Medicare & Medicaid Services?
The Grace Eun-Kyeng Song was assigned its 1649266826 by the Centers for Medicare & Medicaid Services on 2005-09-23.
As of what date was the information pertaining to Grace Eun-Kyeng Song, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Grace Eun-Kyeng Song, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.