MR. JEROME BOONSONG RN NPI 1598312522

NPI Information

NPI: 1598312522
Provider Name: MR. JEROME BOONSONG, RN
Classification: Registered Nurse - 163WP0809X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Adult

Address:
7500 HELLMAN AVE
ROSEMEAD, CA
ZIP 91770
Phone: (626) 288-1160
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MR. Jerome Boonsong, RN is a psychiatric/mental health and adult registered nurse in Rosemead, CA. MR. Jerome Boonsong, RN NPI is 1598312522. 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:

7500 HELLMAN AVE
ROSEMEAD, CA
ZIP 91770-216
Phone: (626) 288-1160
Fax: (626) 371-1329

The enumeration date for this NPI number is 8/23/2019 and was last updated on 8/23/2019.

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	163WP0809X	Registered Nurse	Psychiatric/Mental Health, Adult	688333	CALIFORNIA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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