Jae Won Jang

General Practice Dentistry · Palm Desert, CA

Individual Active NPI

NPI number 1588211148

Practice location

74000 Country Club Dr Ste B1
Palm Desert, CA 92260-1684
Phone
(760) 568-6900

Open in Google Maps

NPI record

NPI
1588211148
Entity type
Individual (Type 1)
Enumeration date
August 19, 2019
Last updated
November 17, 2025
Certified
November 17, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 104246 CA

Mailing address

74258 Royce Dr
Palm Desert, CA 92211-0874
Phone
(818) 331-1043

About Jae Won Jang

Jae Won Jang is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 74000 Country Club Dr Ste B1, Palm Desert, CA 92260-1684. The NPI number 1588211148 was assigned on August 19, 2019 and the record was last updated on November 17, 2025.

Jae Won Jang lists a license in the registry: #104246 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jae Won Jang?

The NPI number is 1588211148.

What is the phone number of Jae Won Jang?

The phone number listed for the practice location is (760) 568-6900.

Where is Jae Won Jang located?

74000 Country Club Dr Ste B1, Palm Desert, CA 92260-1684.

What is the taxonomy code for Jae Won Jang?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other General Practice Dentistry providers in Palm Desert

All General Practice Dentistry providers in Palm Desert, CA →