Provider Demographics
NPI:1982094017
Name:JANG, PAUL HOJIN (DDS)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:HOJIN
Last Name:JANG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24979 CONSTITUTION AVE APT 528
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91381-1734
Mailing Address - Country:US
Mailing Address - Phone:909-894-6894
Mailing Address - Fax:
Practice Address - Street 1:14711 PRINCETON AVE STE 12
Practice Address - Street 2:
Practice Address - City:MOORPARK
Practice Address - State:CA
Practice Address - Zip Code:93021-1469
Practice Address - Country:US
Practice Address - Phone:805-529-4821
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-27
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA64115122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist