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Organization

JOHN P.S. JANDA, M.D., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN P.S. JANDA M.D. (OWNER)
(559) 449-8100
Entity
Organization

Contact information

Practice address
6045 N 1ST ST STE 103, FRESNO, CA 93710-5444
(559) 449-8100
(559) 449-8217
Mailing address
6045 N 1ST ST STE 103, FRESNO, CA 93710-5444
(559) 449-8100
(559) 449-8217

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A37510
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A375100
CA
Enumeration date
04/30/2008
Last updated
04/30/2008
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