Jang, Edward M
Jang, Edward M is an individual health care provider with primary practice located at 7872 Walker St Ste 100 , La Palma CA 90623-1748. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Jang, Edward M can be contacted via phone (714) 880-3801.Contact Information
Primary practice address
7872 Walker St Ste 100
La Palma CA 90623-1748
Phone: (714) 880-3801
Fax: (714) 522-7328
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A32103 | California |
Profile Details
| NPI number | 1790966992 |
|---|---|
| LBN Legal business name | Jang, Edward M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2007 |
| Last updated | Mar 7th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790966992 | NPPES |
| California | Other | 110154851 | CHAMPUS |
| California | MEDICAID | 00A321030 | CHAMPUS |
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