Jong C Moon Md Inc in Shafter - Rural Health
Jong C Moon Md Inc - NPI 1457578403
Jong C Moon Md Inc is a Rural Health in Shafter, California. Jong C Moon Md Inc practices all healthcare services and medical treatments related to Rural Health. The NPI Number for Jong C Moon Md Inc is 1457578403. The last update date is 2012-06-25.
Jong C Moon Md Inc's current location address is 406 James St, Shafter, California. You can contact this provider via phone number 6617465788 and fax number 6617465273. The mailing address for Jong C Moon Md Inc is 406 James St, Shafter, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jong C Moon Md Inc |
|---|---|
| Address | 406 James St, Shafter, California |
| Phone Number | 6617465788 |
| Fax Number | 6617465273 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Moon Chun Jong |
| Credentials | M.D. |
| Telephone Number | 6617465788 |
NPI Number Detail
| NPI Number | 1457578403 |
|---|---|
| Provider Enumeration Date | 2007-04-19 |
| Last Updated Date | 2012-06-25 |
Provider Mailing Address Detail
| Address | 406 James St |
|---|---|
| City | Shafter |
| State | California (CA) |
| Post Code | 932632035 |
| Phone Number | 6617465788 |
| Fax Number | 6617465273 |
Provider's Primary Taxonomy Detail
| Speciality | Rural Health |
|---|---|
| Taxonomy | 261Qr1300X |
| Licence No | A356070 |
|
Definition: Provides primary care and preventive health services in rural medically underserved areas. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| RHM53818F | CA | -- |
Post Comment/ Review Below
What is the Jong C Moon Md Inc's unique identification number?
The Jong C Moon Md Inc has been assigned the NPI (National Provider Identifier) Number 1457578403 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Jong C Moon Md Inc?
The Jong C Moon Md Inc is physically situated at 406 James St, in the city of Shafter, state of CA, with the postal code 932632035.
What is Jong C Moon Md Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jong C Moon Md Inc is Rural Health, and the corresponding taxonomy classification code for this specialized field is 261Qr1300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1457578403 to Jong C Moon Md Inc?
The Jong C Moon Md Inc received its 1457578403 assignment from the Centers for Medicare & Medicaid Services on 2007-04-19.
When was the information regarding Jong C Moon Md Inc most recently updated?
The details pertaining to the Jong C Moon Md Inc, including its address, specialty, and other relevant information, were last refreshed on 2012-06-25.
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