Organization
JYOTI S DATTA MD INC
Active
Organization
JYOTI S DATTA MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANNIE C SAVAGE (OFFICE MANAGER)
(562) 435-4473
Entity
Organization
Contact information
Practice address
1045 ATLANTIC AVE STE 616, LONG BEACH, CA 90813-3411
(562) 435-4473
(562) 437-6937
Mailing address
1045 ATLANTIC AVE STE 616, LONG BEACH, CA 90813-3411
(562) 435-4473
(562) 437-6937
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
A33096
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A330960
—
CA
Enumeration date
04/27/2017
Last updated
05/08/2017
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