Individual
SHANG I B JIANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 WEST ARBOR DRIVE, MAIL CODE - 8420, SAN DIEGO, CA 92103-8420
(619) 543-6674
(619) 543-3183
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
(858) 249-6749
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A87333
CA
207ND0101X
MOHS-Micrographic Surgery Physician
206031
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A87333
STATE LICENSE
CA
Enumeration date
06/05/2006
Last updated
06/07/2017
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