# YIN-JIA GONG MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275959074
- **Authorized official:** DR. YINJIA ROSE GONG MD (CEO)
- **Authorized official phone:** (714) 881-7081

## Contact information

- **Practice address:** 1520 BROOKHOLLOW DR STE 36, SANTA ANA, CA 92705-5427
- **Practice address phone:** (714) 881-7081
- **Mailing address:** 1520 BROOKHOLLOW DR STE 36, SANTA ANA, CA 92705-5427
- **Mailing address phone:** (714) 881-7081

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | A56519 | CA | Yes |

## Other

- **Enumeration date:** 03/17/2014
- **Last updated:** 03/17/2014