| Jiah Jang Do Inc | |
|
2727 W Olympic Blvd Ste 210 Los Angeles CA 90006-2640 | |
| (213) 647-7778 | |
| (877) 347-1457 |
| Full Name | Jiah Jang Do Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2727 W Olympic Blvd Ste 210, Los Angeles, California |
| Authorized Official Name and Position | Jiah Jang (PRESIDENT) |
| Authorized Official Contact | 2132357778 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jiah Jang Do Inc 2727 W Olympic Blvd Ste 210 Los Angeles CA 90006-2640 Ph: (213) 647-7778 | Jiah Jang Do Inc 2727 W Olympic Blvd Ste 210 Los Angeles CA 90006-2640 Ph: (213) 647-7778 |
| NPI Number | 1457902033 |
|---|---|
| Provider Enumeration Date | 09/24/2019 |
| Last Update Date | 09/24/2020 |
| Medicare PECOS PAC ID | 2860827391 |
|---|---|
| Medicare Enrollment ID | O20200415000998 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457902033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Jiah Jang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477978328 PECOS PAC ID: 0840572384 Enrollment ID: I20200415001066 |
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