Individual provider · Type 1 NPI

Fang Jiang

Surgical Physician Assistant · Santa Monica, CA

NPI number 1225557903 Active

Practice location

1225 15th St Ste 2100
Santa Monica, CA 90404-1101

Call (310) 319-1234 Map

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice locations

  • 100 Ucla Medical Plaza Suite 755, Los Angeles, CA 90095-1846 · (310) 319-1234
  • 6418 Vegas Dr, San Jose, CA 95120-1846 · (408) 600-8187

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant Primary 363AS0400X54914 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1225557903

Fang Jiang's National Provider Identifier is 1225557903, issued on Sep 14, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Santa Monica, CA. The record was last updated on Dec 8, 2021.