Jin, Ji-Guang

Jin, Ji-Guang is an sole proprietor health care provider with primary practice located at 1001 N Tustin Ave , Santa Ana CA 92705-3502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Jin, Ji-Guang can be contacted via phone (714) 953-3500.

Contact Information

Primary practice address
1001 N Tustin Ave Santa Ana CA 92705-3502
Phone: (714) 953-3500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A74174 California

Profile Details

NPI number 1053305359
LBN Legal business name Jin, Ji-Guang
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 1st, 2005
Last updated Jun 26th, 2015 - about 10 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 1053305359 NPPES
California MEDICAID 00A741740

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