Jiang, Shang I B

Jiang, Shang I B is an individual health care provider with primary practice located at 200 West Arbor Drive Mail Code - 8420, San Diego CA 92103-8420. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Jiang, Shang I B can be contacted via phone (619) 543-6674.

Contact Information

Primary practice address
200 West Arbor Drive Mail Code - 8420 San Diego CA 92103-8420
Phone: (619) 543-6674
Fax: (619) 543-3183
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 206031 Massachusetts
Allopathic & Osteopathic Physicians / Dermatology 207N00000X A87333 California

Profile Details

NPI number 1801835996
LBN Legal business name Jiang, Shang I B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Jun 7th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801835996 NPPES
California Other A87333 STATE LICENSE

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