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Organization
JAGAN N. BANSAL, M.D., INC.
Active
Organization
JAGAN N. BANSAL, M.D., INC.
Active
Other names
Complete Family Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAGAN NATH BANSAL M.D. (CEO)
(323) 478-1101
Entity
Organization
Contact information
Practice address
5540 N FIGUEROA ST, LOS ANGELES, CA 90042-4120
(323) 478-1101
(323) 255-2745
Mailing address
5540 N FIGUEROA ST, LOS ANGELES, CA 90042-4120
(323) 478-1101
(323) 255-2745
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0014481
—
CA
Enumeration date
10/19/2006
Last updated
01/23/2013
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