Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | A97998 | CA |
NPI | 1023249802 |
---|---|
Provider Name | Dr. Jennifer Jang |
First Address | West Hollywood, CA 90048-1804 |
Second Address | Baldwin Park, CA 91706-5806 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2009 |
Last Update Date | 22/11/2021 |