JUSTIN JANG NPI 1629762554

NPI Information

  • NPI: 1629762554
  • Provider Name: JUSTIN JANG
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: 351 LIDO WAY
    BREA, CA
    ZIP 92821
  • Phone: (714) 944-7715

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NPI Details

Justin Jang is a student in an organized health care education training program in Brea, CA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Justin Jang NPI is 1629762554. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

351 LIDO WAY
BREA, CA
ZIP 92821-156
Phone: (714) 944-7715

The enumeration date for this NPI number is 6/5/2023 and was last updated on 6/5/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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