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JIUNN-BOR JASON HWANG MD INC NPI 1689970592


NPI Information

NPI: 1689970592
Provider Name: JIUNN-BOR JASON HWANG MD INC
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization

CLIA Number: 05D0563764

Address:
850 S ATLANTIC BLVD STE 204
MONTEREY PARK, CA
ZIP 91754
Phone: (626) 282-2118
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JIUNN-BOR JASON HWANG MD INC is a preferred provider organization in Monterey Park, CA. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. JIUNN-BOR JASON HWANG MD INC NPI is 1689970592. The provider is registered as an organization entity type.

The provider's business location address is:

850 S ATLANTIC BLVD STE 204
MONTEREY PARK, CA
ZIP 91754-708
Phone: (626) 282-2118
Fax: (626) 284-8395

The provider's authorized official is Jiunn-bor Jason Hwang .
The authorized official title is Md and has the following contact phone number (626) 282-2118.

The CLIA number assigned to this NPI record is 05D0563764 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/10/2011 and was last updated on 2/10/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305R00000XPreferred Provider OrganizationYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A84122MEDICARE UPINCALIFORNIA

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: 11/14/2023

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