Individual
JASON YOUN-ECK KHAMLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1314 S EUCLID ST STE 103, ANAHEIM, CA 92802-2000
(714) 533-7357
(714) 533-9365
Mailing address
1314 S EUCLID ST STE 103, ANAHEIM, CA 92802-2000
(714) 533-7357
(714) 533-9365
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A43000
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A430001
—
CA
Enumeration date
02/14/2006
Last updated
11/07/2018
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