Individual
MR. JYOTI S DATTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1045 ATLANTIC #616, LONG BEACH, CA 90813
(562) 435-4473
(562) 437-6937
Mailing address
1045 ATLANTIC #616, LONG BEACH, CA 90813
(562) 435-4473
(562) 437-6937
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
A33096
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A330960
—
CA
Enumeration date
11/16/2006
Last updated
04/24/2017
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