Provider Demographics
NPI:1942350491
Name:JIANG, DONGMEI (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:DONGMEI
Middle Name:
Last Name:JIANG
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 THE CITY DR S
Mailing Address - Street 2:BLDG 53 RM 203
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-3201
Mailing Address - Country:US
Mailing Address - Phone:714-456-7707
Mailing Address - Fax:714-456-8805
Practice Address - Street 1:101 THE CITY DR S
Practice Address - Street 2:BLDG 53 RM 203
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-3201
Practice Address - Country:US
Practice Address - Phone:714-456-7707
Practice Address - Fax:714-456-8805
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
FLTRN10217207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program