Provider Demographics
NPI:1639691579
Name:JANG, JEE HOON (MD)
Entity type:Individual
Prefix:
First Name:JEE HOON
Middle Name:
Last Name:JANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:866 S WESTMORELAND AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90005-2372
Mailing Address - Country:US
Mailing Address - Phone:800-821-5675
Mailing Address - Fax:213-289-1166
Practice Address - Street 1:15095 AMARGOSA RD BLDG 1
Practice Address - Street 2:STE 102
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92394-1875
Practice Address - Country:US
Practice Address - Phone:800-821-5675
Practice Address - Fax:760-552-4472
Is Sole Proprietor?:No
Enumeration Date:2017-07-12
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA173800207ZC0008X, 207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207ZC0008XAllopathic & Osteopathic PhysiciansPathologyClinical Informatics