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institution
Jong C Moon Md Inc
Rural Health Clinic/Center in Shafter, California
NPI 1457578403

Jong C Moon Md Inc is a Rural Health Clinic/Center based in Shafter, CA and is specialized in Rural Health. Jong C Moon Md Inc practices in Shafter, CA. The NPI Number for Jong C Moon Md Inc is 1457578403 and holds a License No. A356070 (California).

The current practice location address for Jong C Moon Md Inc is 406 James St, Shafter, CA and can be reached out via phone at 661-746-5788 and via fax at 661-746-5273.

Location: 406 James St, Shafter, CA, 93263-2035
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457578403
Provider Name
Jong C Moon Md Inc
Credential
Provider Entity Type
Organization
Address
406 James St, Shafter, CA, 93263-2035
Phone Number
661-746-5788
Fax Number
661-746-5273
Provider Enumeration Date
04/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RHM53818F 05 CA
institution
Provider Business Practice Location Address Details
Address
406 James St
City
Shafter
State
California
Zip
93263-2035
Phone Number
661-746-5788
Fax Number
661-746-5273
person
Provider Business Mailing Address Details
Address
406 James St
City
Shafter
State
California
Zip
93263-2035
Phone Number
661-746-5788
Fax Number
661-746-5273
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
A356070 (California)
Definition
Definition to come...
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