Individual
BOWEN JIANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 E VALENCIA MESA DR, FULLERTON, CA 92835-3813
(714) 734-3120
Mailing address
100 E VALENCIA MESA DR STE 310, FULLERTON, CA 92835-3800
(714) 734-3120
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A168233
CA
207T00000X
Neurological Surgery Physician
D0082850
MD
Other
Enumeration date
01/24/2012
Last updated
11/03/2021
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