Khamly, Jason Youn-Eck

Khamly, Jason Youn-Eck is an sole proprietor health care provider with primary practice located at 1314 S Euclid St Ste 103 , Anaheim CA 92802-2000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Khamly, Jason Youn-Eck can be contacted via phone (714) 533-7357.

Contact Information

Primary practice address
1314 S Euclid St Ste 103 Anaheim CA 92802-2000
Phone: (714) 533-7357
Fax: (714) 533-9365
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A43000 California

Profile Details

NPI number 1659345940
LBN Legal business name Khamly, Jason Youn-Eck
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2006
Last updated Nov 7th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659345940 NPPES
California MEDICAID 00A430001

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