Vongphoe, Ji Eun
Vongphoe, Ji Eun is an sole proprietor health care provider with primary practice located at 12341 Alamo Dr , Rancho Cucamonga CA 91739-2290. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Vongphoe, Ji Eun can be contacted via phone (323) 829-5485.Contact Information
Primary practice address
12341 Alamo Dr
Rancho Cucamonga CA 91739-2290
Phone: (323) 829-5485
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | NP95010302 | California |
Profile Details
| NPI number | 1962034199 |
|---|---|
| LBN Legal business name | Vongphoe, Ji Eun |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 5th, 2020 |
| Last updated | Feb 5th, 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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