Feng, Jack C

Feng, Jack C is an individual health care provider with primary practice located at 27871 Medical Center Rd Suite 200, Mission Viejo CA 92691-6404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Feng, Jack C can be contacted via phone (949) 364-5090.

Contact Information

Primary practice address
27871 Medical Center Rd Suite 200 Mission Viejo CA 92691-6404
Phone: (949) 364-5090
Fax: (949) 542-8710
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X A64319 California

Profile Details

NPI number 1710964481
LBN Legal business name Feng, Jack C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2005
Last updated Oct 28th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710964481 NPPES
California MEDICAID 00A643190

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