Soo Jeong Jung, | |
2734 El Camino Real, Santa Clara, CA 95051-3007 | |
(408) 241-3801 | |
Not Available |
Full Name | Soo Jeong Jung |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 2734 El Camino Real, Santa Clara, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689336844 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | NP95018582 (California) | Primary |
Entity Name | Sutter Bay Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
Mailing Address | Practice Location Address |
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Soo Jeong Jung, 325 Distel Cir, Los Altos, CA 94022-1408 Ph: () - | Soo Jeong Jung, 2734 El Camino Real, Santa Clara, CA 95051-3007 Ph: (408) 241-3801 |
Mrs. Sharlene Junio Madanes, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-3829 Fax: 408-851-3872 | |
Alejandra Lorena Lecaros, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000 | |
Ja Young Kim, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2734 El Camino Real, Santa Clara, CA 95051 Phone: 408-241-3801 | |
Jacqueline E Trammell, RN, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Department 342, Santa Clara, CA 95051 Phone: 408-851-3828 Fax: 408-851-3872 | |
Mr. Erick Michael Pierce, RN, NP, CRNA Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-6012 | |
Erma Carbonell Trias, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-2399 | |
Mrs. Marion C Colombo, RNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2885 Kaiser Dr., Building C, Santa Clara, CA 95051 Phone: 408-851-9400 Fax: 408-851-9412 |