Jennifer Soung, MD
Dermatologist in Santa Ana, CA
Registered providerLicense # listed (CA)Medicare-enrolledAccepts Medicare assignmentTelehealth (Medicare)
Public-record details
- Address
- 1125 E 17th Street, Suite W248, Santa Ana, CA 92701
- Phone
- (714) 547-5151
- Listed under
- Individual clinicians, Telehealth (Medicare claims)
- NPI
- 1346408226
- NPI status
- Active in the NPPES registry
- Provider type
- Individual provider
- Registered specialty (self-reported taxonomy)
- Dermatology (207N00000X)
- Credentials listed
- MD
- License number on NPI record
- A105043 (CA)
- NPI first issued
- May 28, 2008
- Years since NPI first issued
- 18 years (since 2008)
- License state on NPI record
- CA
- NPI record last updated
- Sep 8, 2016
- Medicare enrollment (CMS)
- Enrolled: listed in CMS Doctors & Clinicians
- Medicare assignment (CMS)
- Accepts the Medicare-approved amount as payment in full
- Telehealth (CMS)
- Medicare claims show telehealth services
- Professional school graduation (CMS)
- 2005 (21 years ago)
- Professional school (CMS)
- Albert Einstein College of Medicine of Yeshiva University
- Medicare group practice (CMS)
- J Robert West MD INC (138 clinicians)
- Practice locations on file with Medicare (CMS)
- 2
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