Individual
JAMES J ONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18372 CLARK ST, SUITE 218, TARZANA, CA 91356-3508
(818) 342-5377
Mailing address
18372 CLARK ST, SUITE 218, TARZANA, CA 91356-3508
(818) 342-5377
(818) 996-9378
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G70354
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G703540
—
CA
Enumeration date
05/04/2006
Last updated
08/24/2012
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