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Organization
HASTINGS RANCH PHYSICIANS GROUP, INC.
Active
Organization
HASTINGS RANCH PHYSICIANS GROUP, INC.
Active
Other names
La Canada Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
AARON I-LUN JENG MD, MPH (OWNER/PROVIDER)
(818) 396-5737
Entity
Organization
Contact information
Practice address
1113 FOOTHILL BLVD, #A, LA CANADA FLINTRIDGE, CA 91011
(818) 369-7848
(818) 671-3521
Mailing address
1113 FOOTHILL BLVD, #A, LA CANADA FLINTRIDGE, CA 91011
(818) 369-7848
(818) 671-3521
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003053851
NPI
CA
01
—
1164831293
NPI
CA
01
—
A106414
PHYSICIAN LICENSE
CA
Enumeration date
08/20/2018
Last updated
02/08/2023
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