Search › Virginia › 207RG0100X
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 RichmondInferred 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