Bong Su Jang, DPT
NPI #1255961850 in San Clemente, California
Provider Information
- NPI Number
- 1255961850
- Entity Type
- Individual
- Name
- Bong Su Jang, DPT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Credential
- DPT
- Enumeration Date
- Jan 22, 2020
- Last Updated
- Aug 8, 2022
Practice Location
- Address
- 415 E AVENIDA PICO STE M
- City
- San Clemente
- State
- California
- ZIP Code
- 92672-3800
- Phone
- (949) 245-6581
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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