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Organization

NICKUL S. JAIN MD, A PROFESSIONAL CORPORATION

Active
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Organization

NICKUL S. JAIN MD, A PROFESSIONAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICKUL S JAIN MD (OWNER)
(949) 689-0845
Entity
Organization

Contact information

Practice address
3501 JAMBOREE RD STE 1250, NEWPORT BEACH, CA 92660-2959
(949) 988-7800
Mailing address
3501 JAMBOREE RD STE 1250, NEWPORT BEACH, CA 92660-2959
(949) 988-7800

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—

Other

Enumeration date
04/25/2022
Last updated
02/06/2023
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