# RONALD G. JAN, M.D., INC

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

## Provider details

- **NPI number:** 1982946687
- **Authorized official:** RONALD G JAN M.D (PRESIDENT)
- **Authorized official phone:** (916) 288-5055

## Contact information

- **Practice address:** 5025 J ST, SUITE 312, SACRAMENTO, CA 95819
- **Practice address phone:** (916) 288-0055
- **Practice address fax:** (916) 288-0056
- **Mailing address:** 5025 J ST \#312, SUITE 312, SACRAMENTO, CA 95819
- **Mailing address phone:** (916) 288-0055
- **Mailing address fax:** (916) 288-0056

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | G22975 | CA | Yes |

## Other

- **Enumeration date:** 03/20/2013
- **Last updated:** 03/20/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00G229750 | — | CA |