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Individual

G DAVID JANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11234 ANDERSON ST, STE 1617, LOMA LINDA, CA 92354-2804
(909) 558-8591
Mailing address
PO BOX 10427, SAN BERNARDINO, CA 92423-0427
(909) 558-8591

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A25828
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A258280
CA
Enumeration date
09/12/2006
Last updated
07/08/2007
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