Individual provider · Type 1 NPI

Jeremy Dane Sporrong, DO

Family Medicine Physician · Loma Linda, CA

NPI number 1639439656 Active

Practice location

11234 Anderson St, Gme Office Csp 21005
Loma Linda, CA 92354-2804

Call (909) 558-6688 Map

Mailing address

823 Gateway Center Way
San Diego, CA 92102-4541

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Family Medicine Physician Primary 207Q00000X20A13251 (CA)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1639439656

Jeremy Dane Sporrong, DO's National Provider Identifier is 1639439656, issued on May 23, 2012. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Loma Linda, CA. The record was last updated on Aug 18, 2015.