Provider Demographics
NPI:1912524034
Name:KAUNANG, JURIAN FEYGEN (MD)
Entity type:Individual
Prefix:
First Name:JURIAN
Middle Name:FEYGEN
Last Name:KAUNANG
Suffix:
Gender:M
Credentials:MD
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1081 N CHINA LAKE BLVD
Mailing Address - Street 2:ATTN: KIM LOCK ADMINISTRATION
Mailing Address - City:RIDGECREST
Mailing Address - State:CA
Mailing Address - Zip Code:93555-3130
Mailing Address - Country:US
Mailing Address - Phone:760-499-3899
Mailing Address - Fax:
Practice Address - Street 1:RIDGECREST REGIONAL HOSPITAL RURAL HEALTH CLINIC
Practice Address - Street 2:1111 N CHINA LAKE BLVD, STE. 190
Practice Address - City:RIDGECREST
Practice Address - State:CA
Practice Address - Zip Code:93555-3131
Practice Address - Country:US
Practice Address - Phone:760-499-3855
Practice Address - Fax:760-499-3870
Is Sole Proprietor?:No
Enumeration Date:2020-07-06
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA185609208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics