MEDICARE: SEN H JONE,MD,INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251K00000X	Public Health or Welfare Agency	A38048	CA

General Provider Information

NPI Number	:	1790138238
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEN H JONE,MD,INC

Provider Business Mailing Address
First Line	:	779 SHORESIDE DR
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95831-1424
Country	:	US
Telephone Number	:	916-429-9870
Fax Number	:

Provider Business Practice Location Address
First Line	:	2820 DEL PASO RD
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95834-9504
Country	:	US
Telephone Number	:	916-515-4481
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SEN HSIUNG JONE
Credential	:	MD
Telephone Number	:	916-393-6727

Provider Enumeration Date	:	07/20/2016
Last Update Date	:	07/20/2016

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