Organization
M. JAY JAZAYERI M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHMOOD JAY JAZAYERI M.D. (OWNER)
(562) 595-6426
Entity
Organization
Contact information
Practice address
2690 PACIFIC AVE, SUITE 380, LONG BEACH, CA 90806-2657
(562) 595-6426
(562) 595-5830
Mailing address
2690 PACIFIC AVE, SUITE 380, LONG BEACH, CA 90806-2657
(562) 595-6426
(562) 595-5830
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A33300
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A333002
—
CA
Enumeration date
10/19/2010
Last updated
10/20/2011
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