# JENNIFER LANG MD INC A MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194038604
- **Authorized official:** JENNIFER LANG MD (OWNER/PRESIDENT)
- **Authorized official phone:** (917) 282-7986

## Contact information

- **Practice address:** 10309 SANTA MONICA BLVD, \#300, LOS ANGELES, CA 90025-5007
- **Practice address phone:** (310) 285-9900
- **Practice address fax:** (310) 553-7020
- **Mailing address:** 10309 SANTA MONICA BLVD, SUITE 300, LOS ANGELES, CA 90025-5007
- **Mailing address phone:** (310) 282-9900
- **Mailing address fax:** (310) 553-7020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | A96071 | CA | Yes |
| 207VX0201X | Gynecologic Oncology Physician | A96071 | CA | — |

## Other

- **Enumeration date:** 07/26/2010
- **Last updated:** 02/17/2011