MEDICARE: JANG S MUN MD PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	11549	NV

General Provider Information

NPI Number	:	1710157177
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JANG S MUN MD PC

Provider Business Mailing Address
First Line	:	2931 N TENAYA WAY STE 101
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0457
Country	:	US
Telephone Number	:	702-643-0740
Fax Number	:	888-291-5713

Provider Business Practice Location Address
First Line	:	2931 N TENAYA WAY STE 101
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0457
Country	:	US
Telephone Number	:	702-643-0740
Fax Number	:	888-291-5713

Authorized Official
Title or Position	:	OWNER
Name	:	JANG S. MUN
Credential	:	M.D.
Telephone Number	:	702-643-0740

Provider Enumeration Date	:	03/01/2008
Last Update Date	:	09/07/2021

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