Individual
DR. JIA MAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
540 E FOOTHILL BLVD STE 100H, SAN DIMAS, CA 91773-1251
(626) 466-6628
Mailing address
2105 FOOTHILL BLVD STE B271, LA VERNE, CA 91750-2901
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A117957
CA
Other
Enumeration date
08/18/2010
Last updated
09/08/2025
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