Organization
WEN-FENG JAN, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WEN FENG JAN MD (PRESIDENT)
(714) 639-3060
Entity
Organization
Contact information
Practice address
1920 E KATELLA AVE, SUITE P, ORANGE, CA 92867-5146
(714) 639-3060
(714) 639-6471
Mailing address
1920 E KATELLA AVE, SUITE P, ORANGE, CA 92867-5146
(714) 639-3060
(714) 639-6471
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A33039
CA
2080P0205X
Pediatric Endocrinology Physician
Primary
A33039
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A330390
—
CA
Enumeration date
07/19/2005
Last updated
10/24/2013
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