Individual
VIVEK JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-7707
Mailing address
911 SUNSET DR, HOLLISTER, CA 95023-5606
(831) 636-2620
(831) 637-3126
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A73069
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A730690
—
CA
Enumeration date
10/27/2006
Last updated
10/31/2018
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