Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | A128020 | CA |
Y | 207VE0102X | Reproductive Endocrinologist | A128020 | CA |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | A128020 | CA |
NPI | 1578876199 |
---|---|
Provider Name | Jie Deng |
First Address | Sunnyvale, CA 94087-3832 |
Second Address | Sunnyvale, CA 94087-3832 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2010 |
Last Update Date | 05/11/2019 |