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General NPI Number Information
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NPI Number | 1285114157
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Entity Type | Organization
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Legal Business Name | HASTINGS RANCH PHYSICIANS GROUP, INC.
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Dates
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Enumeration Date | 08/20/2018
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Last Update Date | 02/08/2023
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Provider Practice Location Address
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Address Line | 1113 FOOTHILL BLVD #A
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City | LA CANADA FLINTRIDGE
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State | CA
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Zip | 91011
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Country | US
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Telephone | 818-369-7848
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Fax | 818-671-3521
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Provider Business Mailing Address
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Address Line | 1113 FOOTHILL BLVD #A
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City | LA CANADA FLINTRIDGE
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State | CA
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Zip | 91011
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Country | US
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Telephone | 818-369-7848
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Fax | 818-671-3521
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | AARON I-LUN JENG
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Credential | MD, MPH
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Telephone | 818-396-5737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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