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NPI Code Detail

MEDICARE: JINSHU OWENS

MEDICARE: JINSHU OWENS
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
1207Q00000XFamily Medicine PhysicianPA55599CA
2363AS0400XSurgical Physician Assistant020993NY

General Provider Information

NPI Number : 1881118735
Entity Type Code : Individual
Provider Name (Legal Business Name) : JINSHU OWENS
Provider Business Mailing Address
First Line : 15944 LOS SERRANOS COUNTRY CLUB DR STE 110
Second Line :
City : CHINO HILLS
State : CA
Zip : 91709-3254
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 15944 LOS SERRANOS COUNTRY CLUB DR STE 110
Second Line :
City : CHINO HILLS
State : CA
Zip : 91709-3254
Country : US
Telephone Number : 909-606-8767
Fax Number : 909-597-8681
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2017
Last Update Date : 10/21/2019

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Directions to “ JINSHU OWENS ” Practice Location

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