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Individual

DR. YINJIA GONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

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
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
0A56519
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A565190
CA
Enumeration date
07/07/2006
Last updated
02/24/2014
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