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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEREMY DANE SPORRONG, D.O.

Active

JEREMY DANE SPORRONG, D.O. is a Family Medicine healthcare provider located in LOMA LINDA, California. NPI 1639439656 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · LOMA LINDA, CA

Registration Details

NPI Number
1639439656
Provider Type
Individual
Gender
Male
NPI Issued
May 23, 2012 (14.241545601308 yrs)
Last Updated
Aug 18, 2015
License
20A13251 (CA)

Practice Information

Address
11234 ANDERSON ST
GME OFFICE CSP 21005
LOMA LINDA, CA, 923542804
Browse CA providers · Browse ZIP 92354
Phone
9095586688
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in LOMA LINDA, CA

Name Credential NPI
DANIEL ROBERT REICHERT M.D. 1215907415
RAMON A ISSA MD 1891748836
DR. CHARLES OLIVER THOMPSON M.D. 1841227493
JOAN ELAINE HAYNES-LEE M.D. 1578590097
WILLIAM W JIH M.D. 1417985581
REEWA KEJRIWAL N.P. 1376573188
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.