Individual
SHUBHA M JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11177 TAMPA AVE, SUITE B, NORTHRIDGE, CA 91226-2254
(818) 366-0474
(818) 474-7530
Mailing address
P.O. BOX 8000, NORTHRIDGE, CA 91327-8000
(818) 366-0474
(818) 474-7530
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A54399
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A54399
CA
Other
Enumeration date
06/09/2006
Last updated
01/31/2012
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