Jack Jaeyoung Song in Martinez - Family Medicine
Jack Jaeyoung Song - NPI 1538342043
Jack Jaeyoung Song is a Family Medicine in Martinez, California. Jack Jaeyoung Song practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jack Jaeyoung Song is 1538342043. The last update date is 2022-02-11.
Jack Jaeyoung Song's current location address is 2500 Alhambra Ave, Martinez, California. You can contact this provider via phone number 9253705110 and fax number 9253705142. The mailing address for Jack Jaeyoung Song is 2500 Alhambra Ave, Martinez, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Jaeyoung Song |
|---|---|
| Address | 2500 Alhambra Ave, Martinez, California |
| Phone Number | 9253705110 |
| Fax Number | 9253705142 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1538342043 |
|---|---|
| Provider Enumeration Date | 2007-12-07 |
| Last Updated Date | 2022-02-11 |
Provider Mailing Address Detail
| Address | 2500 Alhambra Ave |
|---|---|
| City | Martinez |
| State | California (CA) |
| Post Code | 945533156 |
| Phone Number | 9253705110 |
| Fax Number | 9253705142 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | A85362 |
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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 provider identifier assigned to Jack Jaeyoung Song?
The Jack Jaeyoung Song has been issued the NPI (National Provider Identifier) 1538342043 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Jack Jaeyoung Song's physical address?
The Jack Jaeyoung Song is physically located at 2500 Alhambra Ave, in the city of Martinez, CA, with the postal code 945533156.
What is Jack Jaeyoung Song's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jack Jaeyoung 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 Jack Jaeyoung Song receive its 1538342043 assignment from the Centers for Medicare & Medicaid Services?
The Jack Jaeyoung Song was assigned its 1538342043 by the Centers for Medicare & Medicaid Services on 2007-12-07.
As of what date was the information regarding Jack Jaeyoung Song, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jack Jaeyoung Song, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-02-11.