Individual
HUNG-JIE JENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
828 E VALLEY BLVD STE C, SAN GABRIEL, CA 91776-4600
(626) 307-8636
(626) 307-8705
Mailing address
828 E. VALLEY BLVD, SAN GABRIEL, CA 91776-3596
(626) 307-8636
(626) 307-8705
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95001224
CA
Other
Enumeration date
08/23/2014
Last updated
01/10/2019
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