Individual
MARCUS JANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, NP
Contact information
Practice address
811 WILSHIRE BLVD, LOS ANGELES, CA 90017-2606
(716) 603-6680
(213) 604-9783
Mailing address
350 N GLENDALE AVE STE B220, GLENDALE, CA 91206-3794
(716) 603-6680
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95015836
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95015836
BOARD OF REGISTERED NURSING
CA
Enumeration date
11/04/2020
Last updated
05/03/2023
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