Individual
JOHNNY QI ZHONG JIANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
140 N ORANGE AVE STE 104, WEST COVINA, CA 91790-2032
(626) 800-1200
Mailing address
140 N ORANGE AVE STE 104, WEST COVINA, CA 91790-2032
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA55724
CA
Other
Enumeration date
07/20/2018
Last updated
05/24/2021
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