Healthcare Provider Details

I. General information

NPI: 1528728078
Provider Name (Legal Business Name): HONGNAN JHANG NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/25/2021
Last Update Date: 05/16/2025
Certification Date: 05/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3663 W 6TH ST STE 100
LOS ANGELES CA
90020-3047
US

IV. Provider business mailing address

3663 W 6TH ST STE 100
LOS ANGELES CA
90020-3047
US

V. Phone/Fax

Practice location:
  • Phone: 213-383-4000
  • Fax:
Mailing address:
  • Phone: 213-383-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95022949
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ01239900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: