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Organization
SANJIV K JAIN MD INC
Active
Organization
SANJIV K JAIN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANJIV K JAIN MD (CEO)
(818) 366-0474
Entity
Organization
Contact information
Practice address
11145 TAMPA AVE, 14A, NORTHRIDGE, CA 91326-2255
(818) 366-0474
(818) 474-7530
Mailing address
11145 TAMPA AVE, 14A, NORTHRIDGE, CA 91326-2255
(818) 366-0474
(818) 474-7530
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A47841
CA
Other
Enumeration date
06/11/2009
Last updated
06/11/2009
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