JONGBAE JANG

LOS ANGELES, CA
NPI1851902589
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: CA  INT46609)
Enumeration Date2020-08-15
Last Update Date2020-08-15
Business Address
JONGBAE JANG
1985 ZONAL AVE
LOS ANGELES, CA 90089-4994
Phone number: 323-442-1369
Mailing Address
JONGBAE JANG
453 WHITE BARK LN
SIMI VALLEY, CA 93065-4994
Phone number: 805-616-0462