Individual
UDAI JAYAKUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25825 VERMONT AVE, HARBOR CITY, CA 90710-3518
(310) 517-2982
Mailing address
25825 VERMONT AVE, HARBOR CITY, CA 90710-3518
(310) 517-2982
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.119307
IL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
C130571
CA
Other
Enumeration date
09/17/2008
Last updated
12/01/2021
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