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PENGBO JIANG M.D. NPI 1699185603


NPI Information

NPI: 1699185603
Provider Name: PENGBO JIANG, M.D.
Classification: Urology - 208800000X
Entity Type: Individual
Organization: PROHEALTH PARTNERS, A MEDICAL GROUP

PECOS Registration: Yes

Address:
333 CITY BLVD W
SUITE 2100, DEPARTMENT OF UROLOGY
ORANGE, CA
ZIP 92868
Phone: (714) 456-6719
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Pengbo Jiang, M.D. is an urology in Orange, CA with 10 years of experience. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. Pengbo Jiang, M.D. NPI is 1699185603. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

333 CITY BLVD W
SUITE 2100, DEPARTMENT OF UROLOGY
ORANGE, CA
ZIP 92868-903
Phone: (714) 456-6719

The NPI 1699185603 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/29/2014 and was last updated on 12/12/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrology142230CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.