Provider Demographics
NPI:1073728515
Name:JIH, GUEYFANG (PHD OTR)
Entity Type:Individual
Prefix:MRS
First Name:GUEYFANG
Middle Name:
Last Name:JIH
Suffix:
Gender:F
Credentials:PHD OTR
Other - Prefix:MRS
Other - First Name:CHRISTINE
Other - Middle Name:
Other - Last Name:JIH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD OTR
Mailing Address - Street 1:925 ARROWTAIL TER
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94536-3267
Mailing Address - Country:US
Mailing Address - Phone:510-742-9596
Mailing Address - Fax:
Practice Address - Street 1:39022 PRESIDIO WAY
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538
Practice Address - Country:US
Practice Address - Phone:510-792-3743
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2966225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist