Khamly, Jason Youn-Eck
Khamly, Jason Youn-Eck is an sole proprietor health care provider with primary practice located at 1314 S Euclid St Ste 103 , Anaheim CA 92802-2000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Khamly, Jason Youn-Eck can be contacted via phone (714) 533-7357.Contact Information
Primary practice address
1314 S Euclid St Ste 103
Anaheim CA 92802-2000
Phone: (714) 533-7357
Fax: (714) 533-9365
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A43000 | California |
Profile Details
NPI number | 1659345940 |
---|---|
LBN Legal business name | Khamly, Jason Youn-Eck |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 14th, 2006 |
Last updated | Nov 7th, 2018 - about 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1659345940 | NPPES |
California | MEDICAID | 00A430001 |
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