Doctor Name: | FEI JIANG |
NPI Number: | 1194117820 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 41583 |
Business Practice Address: | 4820 Lincoln Blvd Marina Del Rey, CA - 902926917 |
Business Phone Number: | 3108220041 |
Business Fax Number: | 3108220049 |
Mailing Address: | 1945 Corinth Ave 201, LOS ANGELES |
State: | CA |
Postal Code: | 900255597 |
Phone Number: | 4083684256 |
Fax Number: | |
NPI Enumeration Date: | 03/04/2015 |
NPI Last Update Date: | 12/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 41583 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |