Organization
JE MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI JOHN ENAYATI M.D. (PRESIDENT/OWNER)
(310) 292-4883
Entity
Organization
Contact information
Practice address
9461 CHARLEVILLE BLVD # 242, BEVERLY HILLS, CA 90212-3017
(310) 292-4883
(310) 861-1711
Mailing address
9461 CHARLEVILLE BLVD # 242, BEVERLY HILLS, CA 90212-3017
(310) 292-4883
(310) 861-1711
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A73998
CA
261Q00000X
Clinic/Center
Primary
A73998
CA
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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