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Individual

JANIS J. MCCLAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3160 FOLSOM BLVD, SACRAMENTO, CA 95816-5219
(916) 733-5336
(916) 733-5385
Mailing address
4133 VISTA WAY, DAVIS, CA 95616-4330

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G44769
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000810342691
PHCS
CA
01
011100
HEALTH NET
CA
01
1062658
FIRST HEALTH
CA
01
12570
INTERPLAN
CA
01
1454467
UNITED HEALTHCARE
CA
01
3737356
CIGNA
CA
01
4509119
AETNA
CA
01
90026465
PACIFICARE
CA
01
G44769
BLUE CROSS
CA
01
MCMG170000
WESTERN HEALTH ADVANTAGE
CA
Enumeration date
07/31/2006
Last updated
07/08/2007
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