Active NPI
Eunji Bang
- Student in an Organized Health Care Education/Training Program
- Loma Linda, CA
National Provider Identifier
1861135923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- Loma Linda University
11262 Campus Street West Hall
Loma Linda, CA 92350 - Phone
- (909) 558-1000
- NPI assigned
- Apr 18, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
Loma Linda University
11262 Campus Street West Hall
Loma Linda, CA 92350
Mailing address
Loma Linda University
11262 Campus Street West Hall
Loma Linda, CA 92350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650240000000",
"number": "1861135923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "LOMA LINDA UNIVERSITY",
"address_2": "11262 CAMPUS STREET WEST HALL",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "92350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LOMA LINDA UNIVERSITY",
"address_2": "11262 CAMPUS STREET WEST HALL",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "92350",
"telephone_number": "909-558-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANG",
"first_name": "EUNJI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-18",
"last_updated": "2022-04-18",
"certification_date": "2022-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.