Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | MD60869207 | WA |
NPI | 1053765966 |
---|---|
Provider Name | James Jun Ying |
First Address | Seattle, WA 98122-5711 |
Second Address | Seattle, WA 98122-5711 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2016 |
Last Update Date | 21/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1053765966 | (05) | WA |