Provider Demographics
NPI:1770653693
Name:JANG, HARRY K (MD)
Entity Type:Individual
Prefix:DR
First Name:HARRY
Middle Name:K
Last Name:JANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1615 BUNKER HILL WAY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93906-6013
Mailing Address - Country:US
Mailing Address - Phone:831-796-1304
Mailing Address - Fax:831-757-0291
Practice Address - Street 1:1150 FREMONT BLVD
Practice Address - Street 2:
Practice Address - City:SEASIDE
Practice Address - State:CA
Practice Address - Zip Code:93955-5715
Practice Address - Country:US
Practice Address - Phone:831-899-8100
Practice Address - Fax:831-899-8105
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2013-04-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG45445207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ15686ZOtherMEDICARE GROUP
CAZZZ15686ZOtherMEDICARE GROUP