Organization
MEDEX SPECIALTY NETWORK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUN CHIONG MD, MPH (CEO/PRESIDENT)
(909) 809-0289
Entity
Organization
Contact information
Practice address
461 TENNESSEE ST STE C, REDLANDS, CA 92373-8161
(909) 809-0289
(855) 233-7921
Mailing address
1605 VALLE DEL SOL, REDLANDS, CA 92373-7438
(909) 809-0289
(855) 233-7921
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
1223D0004X
Dental Anesthesiology
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
2084P0800X
Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
261QD0000X
Dental Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR1100X
Research Clinic/Center
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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