Simon Jiang is a General Practice in San Marino, California. Simon Jiang practices all healthcare services and medical treatments related to General Practice. The NPI Number for Simon Jiang is 1780638528. The last update date is 2019-04-26.
Simon Jiang's current location address is 1335 S San Gabriel Blvd, San Marino, California. You can contact this provider via phone number 2134583132 and fax number 2132344542. The mailing address for Simon Jiang is 1335 S San Gabriel Blvd, San Marino, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Simon Jiang |
|---|---|
| Address | 1335 S San Gabriel Blvd, San Marino, California |
| Phone Number | 2134583132 |
| Fax Number | 2132344542 |
| Sole Proprietor | Y |
| Credentials | M.D |
NPI Number Detail
| NPI Number | 1780638528 |
|---|---|
| Provider Enumeration Date | 2006-05-19 |
| Last Updated Date | 2019-04-26 |
Provider Mailing Address Detail
| Address | 1335 S San Gabriel Blvd |
|---|---|
| City | San Marino |
| State | California (CA) |
| Post Code | 911082703 |
| Phone Number | 2134583132 |
| Fax Number | 2132344542 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | A69991 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A699911 | CA | -- | |
| 00A699910 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Simon Jiang by the Centers for Medicare & Medicaid Services?
The Simon Jiang has been assigned the NPI (National Provider Identifier) 1780638528 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Simon Jiang?
The Simon Jiang is physically situated at 1335 S San Gabriel Blvd, in the city of San Marino, state of CA, with the postal code 911082703.
What is Simon Jiang's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Simon Jiang is General Practice, and the taxonomy code that categorizes this field of expertise is 208D00000X.
On what date did the Simon Jiang receive its 1780638528 assignment from the Centers for Medicare & Medicaid Services?
The Simon Jiang was assigned its 1780638528 by the Centers for Medicare & Medicaid Services on 2006-05-19.
As of what date were the details related to Simon Jiang most recently updated or revised?
The information pertaining to Simon Jiang, including its address, specialty, and other relevant details, was last updated or revised on 2019-04-26.