Song Siameng Jann is a Medical in Eastvale, California. Song Siameng Jann practices all healthcare services and medical treatments related to Medical. The NPI Number for Song Siameng Jann is 1114143211. The last update date is 2023-10-29.
Song Siameng Jann's current location address is 13795 Nightingale Ct, Eastvale, California. You can contact this provider via phone number 9096840025. The mailing address for Song Siameng Jann is 13795 Nightingale Ct, Eastvale, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Song Siameng Jann |
|---|---|
| Address | 13795 Nightingale Ct, Eastvale, California |
| Phone Number | 9096840025 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1114143211 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2023-10-29 |
Provider Mailing Address Detail
| Address | 13795 Nightingale Ct |
|---|---|
| City | Eastvale |
| State | California (CA) |
| Post Code | 928805513 |
| Phone Number | 9096840025 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA14795 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the Song Siameng Jann's 1114143211?
The Song Siameng Jann's NPI (National Provider Identifier) Number is 1114143211. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Song Siameng Jann's facilities are situated?
The facilities of Song Siameng Jann are physically located at the following address: 13795 Nightingale Ct, Eastvale, CA, 928805513.
What is the Song Siameng Jann's specialty and taxonomy code?
The Song Siameng Jann's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.
On what date did the Song Siameng Jann receive its 1114143211 assignment from the Centers for Medicare & Medicaid Services?
The Song Siameng Jann was assigned its 1114143211 by the Centers for Medicare & Medicaid Services on 2007-04-17.
As of what date were the Song Siameng Jann's details last updated?
The information pertaining to the Song Siameng Jann, including its address, specialty, and other details, was most recently updated on 2023-10-29.