Provider Demographics
NPI:1629537485
Name:JIANG, TIANLUN (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:TIANLUN
Middle Name:
Last Name:JIANG
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:TONY
Other - Middle Name:
Other - Last Name:JIANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 62106
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93160-2106
Mailing Address - Country:US
Mailing Address - Phone:805-681-1760
Mailing Address - Fax:805-681-1768
Practice Address - Street 1:317 W PUEBLO ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-4365
Practice Address - Country:US
Practice Address - Phone:805-898-3050
Practice Address - Fax:805-898-3531
Is Sole Proprietor?:No
Enumeration Date:2019-03-19
Last Update Date:2025-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA199227207N00000X
PAMD481204207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology