Organization
JAY CALVERT MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FAVALE (ADMINISTRATOR)
(805) 581-5575
Entity
Organization
Contact information
Practice address
465 N ROXBURY DR, SUITE 1001, BEVERLY HILLS, CA 90210-4206
(805) 581-5575
Mailing address
PO BOX 940358, SIMI VALLEY, CA 93094-0358
(805) 581-5575
(949) 258-5984
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
08/18/2009
Last updated
08/18/2009
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