Organization
YIN-JIA GONG MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YINJIA ROSE GONG MD (CEO)
(714) 881-7081
Entity
Organization
Contact information
Practice address
1520 BROOKHOLLOW DR STE 36, SANTA ANA, CA 92705-5427
(714) 881-7081
Mailing address
1520 BROOKHOLLOW DR STE 36, SANTA ANA, CA 92705-5427
(714) 881-7081
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A56519
CA
Other
Enumeration date
03/17/2014
Last updated
03/17/2014
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