SearchCalifornia1223G0001X

Tingjen Ji, DDS, MSD

NPI 1811231947 · on the registry since 2012 · sole proprietor

Practice

Address
170 Farmers Ln Ste 1
Santa Rosa, CA 95405
Phone
(707) 539-8762
Fax
(707) 539-2839
Organisation at this address
Pine Flat Ranch, Inc.
Aesthetic Laser & Vein Center Of The North Bay
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-03-23

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 California