Hong-An Jan in Garden Grove - Specialist

Hong-An Jan - NPI 1255332979

Hong-An Jan is a Specialist in Garden Grove, California. Hong-An Jan practices all healthcare services and medical treatments related to Specialist. The NPI Number for Hong-An Jan is 1255332979. The last update date is 2012-10-05.

Hong-An Jan's current location address is 12555 Garden Grove Blvd, Garden Grove, California. You can contact this provider via phone number 7145381288 and fax number 7145384913. The mailing address for Hong-An Jan is 12555 Garden Grove Blvd, Garden Grove, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Hong-An Jan
Address 12555 Garden Grove Blvd, Garden Grove, California
Phone Number 7145381288
Fax Number 7145384913
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1255332979
Provider Enumeration Date 2005-08-03
Last Updated Date 2012-10-05

Provider Mailing Address Detail

Address 12555 Garden Grove Blvd
City Garden Grove
State California (CA)
Post Code 928431902
Phone Number 7145381288
Fax Number 7145384913

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No A31743
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00A317430 CA --

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FAQs about Hong-An Jan

What is the Hong-An Jan's unique identification number?

The Hong-An Jan has been assigned the NPI (National Provider Identifier) Number 1255332979 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Hong-An Jan?

The Hong-An Jan is situated at 12555 Garden Grove Blvd, in the city of Garden Grove, state of CA, with the zip code 928431902.

What is Hong-An Jan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Hong-An Jan is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.

On what date did Hong-An Jan receive its 1255332979 assignment from the Centers for Medicare & Medicaid Services?

The Hong-An Jan was assigned its 1255332979 on 2005-08-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Hong-An Jan most recently updated or revised?

The information pertaining to Hong-An Jan, including its address, specialty, and other relevant details, was last updated or revised on 2012-10-05.

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