Jang, Timothy Bock

Jang, Timothy Bock is an individual health care provider with primary practice located at 1000 W Carson St , Torrance CA 90502-2004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Jang, Timothy Bock can be contacted via phone (310) 222-3500.

Contact Information

Primary practice address
1000 W Carson St Torrance CA 90502-2004
Phone: (310) 222-3500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2002023327 Missouri
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A83407 California

Profile Details

NPI number 1487609707
LBN Legal business name Jang, Timothy Bock
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Feb 2nd, 2015 - about 9 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487609707 NPPES
Illinois MEDICAID 549918730
Illinois MEDICAID 900561735

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