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Contact Information

SUCK JUN BANG, M.D.
15247 11TH ST
#1000
VICTORVILLE, CA92395-3727
 Phone: 760-245-0102
 Fax: 760-245-6171
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for SUCK JUN BANG · (Male)

NPI # 1568562114
Status Active
Credentials M.D.
Entity Individual
Enumeration date 09/24/2006
Last updated 05/24/2026 - About 2 weeks ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 00A245410
  • CA Medicaid 00A245410
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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