Organization
JANICE JAE TOWNSEND MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE E TOWNSEND M.D. (PRESIDENT)
(626) 797-3113
Entity
Organization
Contact information
Practice address
716 W BROADWAY, GLENDALE, CA 91204-1010
(818) 244-8200
(818) 244-8217
Mailing address
PO BOX 60790, PASADENA, CA 91116-6790
(626) 795-6596
(626) 795-8247
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A68528
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A685280
BLUE SHIELD
CA
Enumeration date
11/04/2008
Last updated
06/24/2014
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