Individual
VIVANTI N JAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2021 SANTA MONICA BLVD, SUITE #408-E, SANTA MONICA, CA 90404-2208
(310) 315-9522
(310) 315-9542
Mailing address
2021 SANTA MONICA BLVD, SUITE #408-E, SANTA MONICA, CA 90404-2208
(310) 315-9522
(310) 315-9542
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G79793
CA
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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