Individual
AILEEN QI JIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2755 BRISTOL ST, SUITE 130, COSTA MESA, CA 92626-5985
(714) 966-2950
(714) 557-2487
Mailing address
4482 BARRANCA PKWY, SUITE 195, IRVINE, CA 92604-7701
(949) 679-3337
(949) 679-3336
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT40459
CA
Other
Enumeration date
09/17/2013
Last updated
09/17/2013
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