Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | A106414 | CA |
Y | 111NI0900X | Internist | A106414 | CA |
NPI | 1003053851 |
---|---|
Provider Name | Dr. Aaron I-Lun Jeng |
First Address | Pasadena, CA 91117-0801 |
Second Address | San Gabriel, CA 91776-1216 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2009 |
Last Update Date | 05/08/2015 |