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NPI Code Detail

MEDICARE: DAQIAN JIN RNFA

MEDICARE: DAQIAN JIN RNFA
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
1163WR0006XRegistered Nurse First Assistant95235037CA

General Provider Information

NPI Number : 1710816988
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAQIAN JIN RNFA
Provider Business Mailing Address
First Line : 1736 MANCHA WAY
Second Line :
City : MONTEREY PARK
State : CA
Zip : 91755-5637
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 18300 ROSCOE BLVD
Second Line :
City : NORTHRIDGE
State : CA
Zip : 91325-4105
Country : US
Telephone Number : 818-885-8500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2026
Last Update Date : 05/14/2026

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Directions to “ DAQIAN JIN RNFA” Practice Location

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