Provider Demographics
NPI:1700953791
Name:JONE, SEN HSIUNG (MD)
Entity Type:Individual
Prefix:MR
First Name:SEN
Middle Name:HSIUNG
Last Name:JONE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1710 PRAIRIE CITY RD STE 125
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-4042
Mailing Address - Country:US
Mailing Address - Phone:916-407-2222
Mailing Address - Fax:916-985-4205
Practice Address - Street 1:1710 PRAIRIE CITY RD STE 125
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630
Practice Address - Country:US
Practice Address - Phone:916-407-2222
Practice Address - Fax:916-985-4205
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA32275207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A322750Medicaid
CA00A322750Medicare ID - Type Unspecified
CA00A322750Medicaid