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General NPI Number Information
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NPI Number | 1902317910
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Entity Type | Organization
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Legal Business Name | MEDEX HEALTH NETWORK, INC.
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Dates
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Enumeration Date | 10/17/2017
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Last Update Date | 10/17/2017
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Provider Practice Location Address
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Address Line | 414 TENNESSEE ST STE XX
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City | REDLANDS
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State | CA
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Zip | 92373-8163
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Country | US
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Telephone | 909-809-0289
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Fax | 855-233-7921
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Provider Business Mailing Address
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Address Line | 14221 EUCLID ST STE G
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City | GARDEN GROVE
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State | CA
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Zip | 92843-4991
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Country | US
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Telephone | 855-548-0911
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JUN CHIONG
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Credential | MD
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Telephone | 909-475-7371
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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