MEDICARE: JIANFANG DENG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175M00000X	Lay Midwife	AU95JD1AE	CA

General Provider Information

NPI Number	:	1528994308
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JIANFANG DENG

Provider Business Mailing Address
First Line	:	5688 N CHARLOTTE AVE
Second Line	:
City	:	SAN GABRIEL
State	:	CA
Zip	:	91776-1606
Country	:	US
Telephone Number	:	909-203-6818
Fax Number	:

Provider Business Practice Location Address
First Line	:	5688 N CHARLOTTE AVE
Second Line	:
City	:	SAN GABRIEL
State	:	CA
Zip	:	91776-1606
Country	:	US
Telephone Number	:	909-203-6818
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2026
Last Update Date	:	06/20/2026

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Directions to “ JIANFANG DENG ” Practice Location

Language	Start Address	Practice Location

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