Individual
INDU JAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1672 W AVENUE J, SUITE 209, LANCASTER, CA 93534-2827
(661) 729-6854
(661) 729-6864
Mailing address
PO BOX 2858, LANCASTER, CA 93539-2858
(661) 729-6854
(661) 729-6864
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A48352
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A483520
—
CA
Enumeration date
12/28/2005
Last updated
11/01/2011
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