DR. SUCK JUN BANG M.D. NPI 1568562114

NPI Information

NPI: 1568562114
Provider Name: DR. SUCK JUN BANG, M.D.
Classification: Pediatrics - 2080A0000X
Entity Type: Individual

Specialization: Adolescent Medicine

Address:
15247 11TH ST
#1000
VICTORVILLE, CA
ZIP 92395
Phone: (760) 245-0102
Get Directions

DR. Suck Jun Bang, M.D. is an adolescent medicine pediatrics in Victorville, CA. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. DR. Suck Jun Bang, M.D. NPI is 1568562114. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

15247 11TH ST
#1000
VICTORVILLE, CA
ZIP 92395-727
Phone: (760) 245-0102
Fax: (760) 245-6171

The enumeration date for this NPI number is 9/24/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080A0000X	Pediatrics	Adolescent Medicine	00A245410	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A24023	MEDICARE UPIN	CALIFORNIA
2	00A245410	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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