Johnny Qi Zhong Jiang, PA-C
Physician Assistant, Medical in West Covina, CA. Individual provider (NPI-1).
NPI number1982181293
StatusActive
Last updated in NPPESMay 24, 2021
Details
- NPI
- 1982181293
- Entity type
- Individual (NPI-1)
- Name
- Johnny Qi Zhong Jiang
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 20, 2018
- Certification date
- May 24, 2021
- Last updated
- May 24, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA55724 | CA | Yes |
Practice location
140 N Orange Ave Ste 104West Covina, CA 91790-2032
Phone 626-800-1200
Mailing address
140 N Orange Ave Ste 104West Covina, CA 91790-2032
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