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NPI Code Detail

MEDICARE: SAMANTHA JANG OD

MEDICARE:   SAMANTHA  JANG  OD
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
1171000000XMilitary Health Care ProviderCA

General Provider Information

NPI Number : 1417887068
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA JANG OD
Provider Business Mailing Address
First Line : 1841 REDONDO RD
Second Line :
City : WEST SACRAMENTO
State : CA
Zip : 95691-4937
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5865 W UTOPIA RD
Second Line :
City : GLENDALE
State : AZ
Zip : 85308-5251
Country : US
Telephone Number : 623-537-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2026
Last Update Date : 05/22/2026

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Directions to “ SAMANTHA JANG OD” Practice Location

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