# M. JAY JAZAYERI M.D., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447560859
- **Authorized official:** DR. MAHMOOD JAY JAZAYERI M.D. (OWNER)
- **Authorized official phone:** (562) 595-6426

## Contact information

- **Practice address:** 2690 PACIFIC AVE, SUITE 380, LONG BEACH, CA 90806-2657
- **Practice address phone:** (562) 595-6426
- **Practice address fax:** (562) 595-5830
- **Mailing address:** 2690 PACIFIC AVE, SUITE 380, LONG BEACH, CA 90806-2657
- **Mailing address phone:** (562) 595-6426
- **Mailing address fax:** (562) 595-5830

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | A33300 | CA | Yes |

## Other

- **Enumeration date:** 10/19/2010
- **Last updated:** 10/20/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A333002 | — | CA |