# DR. JAN LEI IWATA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1922177351
- **Gender:** F
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 036-105234 | IL | — |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 7541 | CA | — |
| 207W00000X | Ophthalmology Physician | 036-105234 | IL | — |
| 207W00000X | Ophthalmology Physician | 7541 | CA | — |
| 2083P0901X | Public Health & General Preventive Medicine Physician | 036-105234 | IL | Yes |
| 2083P0901X | Public Health & General Preventive Medicine Physician | 7541 | CA | — |

## Other

- **Enumeration date:** 11/07/2006
- **Last updated:** 01/08/2014