Provider Demographics
NPI:1700204179
Name:JIANG, YINGYING (ND)
Entity Type:Individual
Prefix:DR
First Name:YINGYING
Middle Name:
Last Name:JIANG
Suffix:
Gender:F
Credentials:ND
Other - Prefix:DR
Other - First Name:TRACEY
Other - Middle Name:
Other - Last Name:JIANG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ND
Mailing Address - Street 1:300 S MONTE VISTA ST
Mailing Address - Street 2:
Mailing Address - City:LA HABRA
Mailing Address - State:CA
Mailing Address - Zip Code:90631-9067
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:300 S MONTE VISTA ST
Practice Address - Street 2:
Practice Address - City:LA HABRA
Practice Address - State:CA
Practice Address - Zip Code:90631-9067
Practice Address - Country:US
Practice Address - Phone:949-981-9034
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-02
Last Update Date:2014-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA607175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath