Organization
SAN GABRIEL RETINA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YI JIANG MD (PRESIDENT)
(626) 262-2082
Entity
Organization
Contact information
Practice address
416 W LAS TUNAS DR STE 105, SAN GABRIEL, CA 91776-1236
(626) 262-2082
(626) 317-8128
Mailing address
416 W LAS TUNAS DR STE 105, SAN GABRIEL, CA 91776-1236
(626) 262-2082
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
Other
Enumeration date
11/19/2018
Last updated
11/05/2024
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