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Individual

DR. JING ZHAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD PHD

Contact information

Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(626) 359-8111
Mailing address
1333S MAYFLOWER AVE 2 2ND FL, MONROVIA, CA 91016-4066
(626) 775-3514
(626) 408-3911

Taxonomy

Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
2004001503
MO
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2004001503
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
207210600
MO
Enumeration date
07/14/2006
Last updated
08/26/2015
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