Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | MD60875417 | WA |
Y | 207RH0003X | Hematology & Oncology | C132350 | CA |
N | 207RX0202X | Medical Oncology | MD60875417 | WA |
NPI | 1235332925 |
---|---|
Provider Name | Dr. Dong Xiang |
First Address | Cerritos, CA 90703-2671 |
Second Address | San Gabriel, CA 91776-1159 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2007 |
Last Update Date | 03/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
500698172 | (05) | OR |