Most Relevant Information
Provider Data
| NPI Number: | 1003587668 |
| Provider Name: | HENGJIA JIAN |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/23/2021 |
| Last Updated: | 09/23/2021 |
Provider Practice Location
4510 E PACIFIC COAST HWY STE 600
LONG BEACH
CA
908046914
Practice Location Phone/Fax
| Phone: | 5623461100 |
| Fax: | 5629617606 |
Provider Mailing Location
25 PALATINE APT 440
IRVINE
CA
926127623
Provider Mailing Phone/Fax
| Phone: | 9257758151 |
| Fax: |