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Licensing details for: A 153109

Name: JIANG, KEVIN

License Type: Physician and Surgeon A

Primary Status: License Renewed & Current Primary Status Definition

School Name: Saint Louis University School of Medicine

Graduation Year: 2012

Previous Names: Jiang, Kevin

Address of Record

PO Box 3299
CAMARILLO CA 93011-3299
VENTURA county
Map

Issuance Date

December 8, 2017

Expiration Date

September 30, 2027

Current Date / Time

November 8, 2026
5:45:49 PM

Public Record Actions

Public Documents

Survey Information

The following information is self-reported by the licensee and has not been verified by the Board.

Current Training Status
Not in Training
Postgraduate Training Years
9+
Primary Area of Practice
Physical Medicine and Rehabilitation
Secondary Area of Practice
Complementary & Alternative Medicine
Pain Medicine
ABMS Certifications
American Board of Physical Medicine and Rehabilitation - Pain Medicine
American Board of Physical Medicine and Rehabilitation - Physical Medicine and Rehabilitation
Are you retired?
No
Practice Activities
Direct Patient Care (including telehealth) - 20-29 Hours
Percentage (%) of patient care hours spent on telehealth - 1
Training - None
Research - None
Administration - 1-9 Hours
Other - Decline to State
Primary Practice Location
Decline to State
Secondary Practice Location
Decline to State
Are you Hispanic, Latino/a, or of Spanish origin?
Decline to State
Race
Decline to State
Language Fluency
Decline to State
Gender Identity
Male

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