Provider Demographics
NPI:1376204594
Name:COMPREHENSIVE MEDICAL PARTNERS
Entity Type:Organization
Organization Name:COMPREHENSIVE MEDICAL PARTNERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JUYONG
Authorized Official - Middle Name:
Authorized Official - Last Name:BONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-679-5749
Mailing Address - Street 1:2561 STONECREST WAY
Mailing Address - Street 2:
Mailing Address - City:HANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:93230-8508
Mailing Address - Country:US
Mailing Address - Phone:972-679-5749
Mailing Address - Fax:
Practice Address - Street 1:2561 STONECREST WAY
Practice Address - Street 2:
Practice Address - City:HANFORD
Practice Address - State:CA
Practice Address - Zip Code:93230-8508
Practice Address - Country:US
Practice Address - Phone:972-679-5749
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-10
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty