SearchVirginia207RG0100X

Fangyuan Jin-Dominguez

NPI 1295232296 · on the registry since 2018 · sole proprietor

Practice

Address
1201 Broad Rock Blvd
Richmond, VA 23249
Phone
(804) 675-5000
Organisation at this address
Richmond Vamc
Richmond Vamc
Richmond Vamc
Richmond Vamc
Dva Vha Richmond
Inferred from a shared address, not stated in the registry.
Clinicians at this address
898

Registry record

Primary taxonomy
207RG0100X
207RG0100X
Also registered as
390200000X
207R00000X
Licence states on file
OH, VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-04-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia