MEDICARE: DR. M. CATARINA JANG O.D.

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	152WC0802X	Corneal and Contact Management Optometrist	T005981	NY
2	152W00000X	Optometrist	13814T	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851480479
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. M. CATARINA JANG O.D.

Provider Business Mailing Address
First Line	:	703 PIER AVE
Second Line	:	STE C
City	:	HERMOSA BEACH
State	:	CA
Zip	:	90254-3958
Country	:	US
Telephone Number	:	917-796-4024
Fax Number	:

Provider Business Practice Location Address
First Line	:	703 PIER AVE
Second Line	:	STE C
City	:	HERMOSA BEACH
State	:	CA
Zip	:	90254-3958
Country	:	US
Telephone Number	:	917-796-4024
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	01/03/2019

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