Provider Demographics
NPI:1598392896
Name:GAHNG, JUNGMO J (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:JUNGMO
Middle Name:J
Last Name:GAHNG
Suffix:
Gender:
Credentials:MD, MPH
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Other - Credentials:
Mailing Address - Street 1:453 QUARRY RD
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94304-1419
Mailing Address - Country:US
Mailing Address - Phone:650-725-6344
Mailing Address - Fax:650-736-1523
Practice Address - Street 1:453 QUARRY RD
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1419
Practice Address - Country:US
Practice Address - Phone:650-725-6344
Practice Address - Fax:650-736-1523
Is Sole Proprietor?:No
Enumeration Date:2020-03-25
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA200777208D00000X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice