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Jeremy Dane Sporrong, DO
Family Medicine Physician in Loma Linda, California
NPI 1639439656

Jeremy Dane Sporrong is a Family Medicine Physician based in San Diego, CA. Jeremy Dane Sporrong practices in Loma Linda, CA and has the professional credentials of DO. The NPI Number for Jeremy Dane Sporrong is 1639439656 and holds a License No. (California).

The current practice location address for Jeremy Dane Sporrong is 11234 Anderson St, Loma Linda, CA and can be reached out via phone at 909-558-6688. You can also correspond with Jeremy Dane Sporrong through the mailing address at 823 GATEWAY CENTER WAY, SAN DIEGO, CA - 92102-4541 (mailing address contact number: 619-906-4623).

Location: 11234 Anderson St, Loma Linda, CA, 92102-4541
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639439656
Provider Name
Jeremy Dane Sporrong
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
11234 Anderson St, Loma Linda, CA, 92102-4541
Phone Number
909-558-6688
Fax Number
Provider Enumeration Date
05/23/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11234 Anderson St
City
Loma Linda
State
California
Zip
92354-2804
Phone Number
909-558-6688
Fax Number
person
Provider Business Mailing Address Details
Address
11234 Anderson St
City
Loma Linda
State
California
Zip
92354-2804
Phone Number
909-558-6688
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
20A13251 (California)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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