Provider Demographics
NPI:1306841457
Name:WHANG, SARAH JENNIFER (MD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:JENNIFER
Last Name:WHANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:302 W LA VETA AVE
Mailing Address - Street 2:STE 101
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92866-2607
Mailing Address - Country:US
Mailing Address - Phone:714-633-0321
Mailing Address - Fax:714-633-9196
Practice Address - Street 1:302 W LA VETA AVE
Practice Address - Street 2:STE 101
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92866-2607
Practice Address - Country:US
Practice Address - Phone:714-633-0321
Practice Address - Fax:714-633-9196
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2020-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC54031207WX0110X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0110XAllopathic & Osteopathic PhysiciansOphthalmologyPediatric Ophthalmology and Strabismus Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPENDINGOtherMEDI-CAL