Individual
KYU HWAN JANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ABO
Contact information
Practice address
621 S WESTERN AVE STE 214, LOS ANGELES, CA 90005-3042
(213) 389-1001
(213) 389-1002
Mailing address
621 S WESTERN AVE STE 214, LOS ANGELES, CA 90005-3042
(213) 389-1001
(213) 389-1002
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
162590
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
162590
ABO
—
Enumeration date
02/27/2021
Last updated
02/27/2021
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