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Organization
JILBERT DANIEL ISSAI, A PROFESSIONAL MEDICAL CORPORATION
Active
Organization
JILBERT DANIEL ISSAI, A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILBERT DANIEL ISSAI (OWNER)
(818) 437-1744
Entity
Organization
Contact information
Practice address
10050 LA CANADA WAY, SUNLAND, CA 91040-1619
(818) 437-1744
Mailing address
10050 LA CANADA WAY, SUNLAND, CA 91040-1619
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A75925
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A75925
CALIFORNIA MEDICAL LICENSE
CA
Enumeration date
04/13/2014
Last updated
04/13/2014
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