Individual
PAYAL JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6041 CADILLAC AVE, LOS ANGELES, CA 90034-1702
(323) 547-9477
Mailing address
6401 CADILLAC AVE, LOS ANGELES, CA 90034-9521
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A110118
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/27/2008
Last updated
12/01/2021
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