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Individual

DR. JAY MOUAZZA JARMAKANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10833 LE CONTE AVE, 12-441 MDCC, LOS ANGELES, CA 90095-3075
(310) 206-3952
(310) 206-0209
Mailing address
10833 LE CONTE AVE, 12-441 MDCC, LOS ANGELES, CA 90095-3075
(310) 206-3952
(310) 206-0209

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
A25861
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A258610
CA
05
GR0053510
CA
Enumeration date
07/27/2006
Last updated
07/09/2007
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