Organization
JAGRAJ NIJJAR MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERA VAUGHN (MANAGER)
(281) 795-6693
Entity
Organization
Contact information
Practice address
945 SHASTA ST, YUBA CITY, CA 95991-4124
(281) 795-6693
Mailing address
P.O. BOX 468, MARYSVILLE, CA 95901
(530) 674-9737
(530) 674-9734
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A69180
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A691800
—
CA
01
—
1689610990
NPI INDIVIDUAL
—
Enumeration date
05/03/2007
Last updated
08/01/2024
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