Individual
SANJIV K JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16101 VENTURA BLVD, STE 240, ENCINO, CA 91436-2513
(818) 366-0474
(818) 360-6319
Mailing address
P.O. BOX 8000, NORTHRIDGE, CA 91327-8000
(818) 366-0474
(818) 474-7530
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A47841
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A47841
CA
207R00000X
Internal Medicine Physician
A47841
CA
Other
Enumeration date
06/08/2006
Last updated
09/18/2019
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