Suck Jun Bang in Victorville - Adolescent Medicine
Suck Jun Bang - NPI 1568562114
Suck Jun Bang is a Adolescent Medicine in Victorville, California. Suck Jun Bang practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Suck Jun Bang is 1568562114. The last update date is 2007-07-09.
Suck Jun Bang's current location address is 15247 11th St, Victorville, California. You can contact this provider via phone number 7602450102 and fax number 7602456171. The mailing address for Suck Jun Bang is 15247 11th St, Victorville, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Suck Jun Bang |
|---|---|
| Address | 15247 11th St, Victorville, California |
| Phone Number | 7602450102 |
| Fax Number | 7602456171 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1568562114 |
|---|---|
| Provider Enumeration Date | 2006-09-24 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 15247 11th St |
|---|---|
| City | Victorville |
| State | California (CA) |
| Post Code | 923953727 |
| Phone Number | 7602450102 |
| Fax Number | 7602456171 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | 00A245410 |
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Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A245410 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Suck Jun Bang by the Centers for Medicare & Medicaid Services?
The Suck Jun Bang has been assigned the NPI (National Provider Identifier) 1568562114. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Suck Jun Bang is geographically located?
The Suck Jun Bang is physically situated at the following location: 15247 11Th St, Victorville, CA, 923953727.
What is the area of specialization for Suck Jun Bang, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Suck Jun Bang is Adolescent Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 2080A0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1568562114 to Suck Jun Bang?
The Suck Jun Bang received its 1568562114 assignment from the Centers for Medicare & Medicaid Services on 2006-09-24.
When was the Suck Jun Bang's information last updated?
The Suck Jun Bang's information was last updated on 2007-07-09.