Healthcare Provider Details

I. General information

NPI: 1497682009
Provider Name (Legal Business Name): SEOYOUNG JANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

407 BALSAM AVE
BAKERSFIELD CA
93305-1403
US

IV. Provider business mailing address

407 BALSAM AVE
BAKERSFIELD CA
93305-1403
US

V. Phone/Fax

Practice location:
  • Phone: 508-410-5439
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number92219
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: