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Organization
M. JAY JAZAYERI M.D., INC.
Active
Organization
M. JAY JAZAYERI M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHMOOD JAY JAZAYERI M.D. (OWNER)
(562) 595-6426
Entity
Organization
Contact information
Practice address
2690 PACIFIC AVE, SUITE 380, LONG BEACH, CA 90806-2657
(562) 595-6426
(562) 595-5830
Mailing address
2690 PACIFIC AVE, SUITE 380, LONG BEACH, CA 90806-2657
(562) 595-6426
(562) 595-5830
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A33300
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A333002
—
CA
Enumeration date
10/19/2010
Last updated
10/20/2011
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