Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JEROME BOONSONG, RN
ActiveMR. JEROME BOONSONG, RN is a Substance Abuse Psychiatric Nurse healthcare provider located in ROSEMEAD, California. NPI 1598312522 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Psychiatric Nurse · ROSEMEAD, CA
Registration Details
- NPI Number
- 1598312522
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 23, 2019 (7.0182271337161 yrs)
- Last Updated
- Aug 23, 2019
- License
-
688333 (CA)
Practice Information
- Address
-
7500 HELLMAN AVEROSEMEAD, CA, 917702216Browse CA providers · Browse ZIP 91770
- Phone
- 6262881160
- Fax
- 6263711329
- Primary Specialty
-
Substance Abuse Psychiatric Nurse
163WP0809X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.