Jerry Soung is a Internal Medicine in Stockton, California. Jerry Soung practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Jerry Soung is 1154318764. The last update date is 2007-07-08.
Jerry Soung's current location address is 1610 N El Dorado St, Stockton, California. You can contact this provider via phone number 2094655107 and fax number 2094657653. The mailing address for Jerry Soung is 1610 N El Dorado St, Stockton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Soung |
|---|---|
| Address | 1610 N El Dorado St, Stockton, California |
| Phone Number | 2094655107 |
| Fax Number | 2094657653 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1154318764 |
|---|---|
| Provider Enumeration Date | 2005-09-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1610 N El Dorado St |
|---|---|
| City | Stockton |
| State | California (CA) |
| Post Code | 952045930 |
| Phone Number | 2094655107 |
| Fax Number | 2094657653 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | A73550 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A735500 | CA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jerry Soung?
The Jerry Soung has been issued the NPI (National Provider Identifier) 1154318764 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jerry Soung?
The Jerry Soung is physically situated at 1610 N El Dorado St, in the city of Stockton, state of CA, with the postal code 952045930.
What is Jerry Soung's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jerry Soung is Internal Medicine, and the taxonomy code that categorizes this field of expertise is 207R00000X.
On what date did the Jerry Soung receive the assignment of its 1154318764 from the Centers for Medicare & Medicaid Services?
The Jerry Soung was issued its 1154318764 by the Centers for Medicare & Medicaid Services on 2005-09-29.
When was the information regarding Jerry Soung most recently updated?
The details pertaining to the Jerry Soung, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.