Chang S Joo in Modesto - Nephrology

Chang S Joo - NPI 1508868787

Chang S Joo is a Nephrology in Modesto, California. Chang S Joo practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Chang S Joo is 1508868787. The last update date is 2008-02-22.

Chang S Joo's current location address is 305 E Granger Ave, Modesto, California. You can contact this provider via phone number 2095261606 and fax number 2095261677. The mailing address for Chang S Joo is 305 E Granger Ave, Modesto, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Chang S Joo
Address 305 E Granger Ave, Modesto, California
Phone Number 2095261606
Fax Number 2095261677
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1508868787
Provider Enumeration Date 2005-06-01
Last Updated Date 2008-02-22

Provider Mailing Address Detail

Address 305 E Granger Ave
City Modesto
State California (CA)
Post Code 9535043440
Phone Number 2095261606
Fax Number 2095261677

Provider's Primary Taxonomy Detail

Speciality Nephrology
Taxonomy 207Rn0300X
Licence No A481920
Definition:
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00A481920 CA --

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FAQs about Chang S Joo

What is the unique identification code assigned to Chang S Joo by the Centers for Medicare & Medicaid Services?

The Chang S Joo has been issued the NPI (National Provider Identifier) 1508868787. This 10-digit code 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 Chang S Joo?

The Chang S Joo is situated at 305 E Granger Ave, in the city of Modesto, state of CA, with the zip code 9535043440.

What is Chang S Joo's specialized field of practice, and what is the corresponding taxonomy classification code?

The Chang S Joo's area of specialization is Nephrology, and the corresponding taxonomy code that categorizes this field of practice is 207Rn0300X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1508868787 to Chang S Joo?

The Centers for Medicare & Medicaid Services originally issued the 1508868787 to Chang S Joo on 2005-06-01.

When was the information regarding Chang S Joo, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Chang S Joo, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-02-22.

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