Jiang, Simon
Jiang, Simon is an sole proprietor health care provider with primary practice located at 925 S Atlantic Blvd Ste 106 , Monterey Park CA 91754-4734. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Jiang, Simon can be contacted via phone (213) 458-3132.Contact Information
Primary practice address
925 S Atlantic Blvd Ste 106
Monterey Park CA 91754-4734
Phone: (213) 458-3132
Fax: (213) 234-4542
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A69991 | California |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | A69991 | California |
Profile Details
| NPI number | 1780638528 |
|---|---|
| LBN Legal business name | Jiang, Simon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 19th, 2006 |
| Last updated | Apr 26th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780638528 | NPPES |
| California | MEDICAID | 00A699911 | |
| California | MEDICAID | 00A699910 |
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