Jeanette Rae Ponce in Santa Ana - Family Medicine

Jeanette Rae Ponce - NPI 1548230337

Jeanette Rae Ponce is a Family Medicine in Santa Ana, California. Jeanette Rae Ponce practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jeanette Rae Ponce is 1548230337. The last update date is 2018-11-30.

Jeanette Rae Ponce's current location address is 2112 E 4th St Ste 100, Santa Ana, California. You can contact this provider via phone number 7147513800 and fax number 7147952992. The mailing address for Jeanette Rae Ponce is 2112 E 4th St Ste 100, Santa Ana, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeanette Rae Ponce
Address 2112 E 4th St Ste 100, Santa Ana, California
Phone Number 7147513800
Fax Number 7147952992
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1548230337
Provider Enumeration Date 2006-01-24
Last Updated Date 2018-11-30

Provider Mailing Address Detail

Address 2112 E 4th St Ste 100
City Santa Ana
State California (CA)
Post Code 927053849
Phone Number 7147513800
Fax Number 7147952992

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No A68979
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00A689790 CA --

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FAQs about Jeanette Rae Ponce

What is the Jeanette Rae Ponce's unique identification number?

The Jeanette Rae Ponce has been assigned the NPI (National Provider Identifier) Number 1548230337 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Jeanette Rae Ponce is physically located?

The Jeanette Rae Ponce is situated at the following address: 2112 E 4Th St Ste 100, Santa Ana, CA 927053849.

What is Jeanette Rae Ponce's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jeanette Rae Ponce is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1548230337 to Jeanette Rae Ponce?

The Centers for Medicare & Medicaid Services assigned the 1548230337 to Jeanette Rae Ponce on 2006-01-24.

As of what date were the details pertaining to Jeanette Rae Ponce last refreshed?

The information related to the Jeanette Rae Ponce, including its address, specialty, and other relevant details, was last updated on 2018-11-30.

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