Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 235707 | CA |
NPI | 1043618366 |
---|---|
Provider Name | Jing Zhai |
First Address | Long Beach, CA 90813-3616 |
Second Address | Long Beach, CA 90813-3616 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/12/2014 |
Last Update Date | 11/10/2021 |