Organization
WON JO, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WON-SEOK JO MD (PRESIDENT)
(714) 350-5651
Entity
Organization
Contact information
Practice address
424 E VANDERBILT WAY STE B, SAN BERNARDINO, CA 92408-3552
(909) 796-0363
(909) 255-7292
Mailing address
424 E VANDERBILT WAY STE B, SAN BERNARDINO, CA 92408-3552
(909) 796-0363
(909) 255-7292
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A91260
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A912600
—
CA
01
—
1245215144
NPI (PERSONAL)
CA
01
—
P00400295
RAILROAD MEDICARE
—
Enumeration date
04/14/2007
Last updated
10/17/2023
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