Organization
SAURABH JAIN MD INC
Active
Other names
Wound Care Surgeon
Organization subpart
No
Provider details
NPI number
Authorized official
SAURABH JAIN MD (PRESIDENT)
(818) 726-2148
Entity
Organization
Contact information
Practice address
7301 TOPANGA CANYON BLVD, 330, CANOGA PARK, CA 91303-1357
(818) 220-3393
(818) 356-4380
Mailing address
7301 TOPANGA CANYON BLVD, 330, CANOGA PARK, CA 91303-1357
(818) 636-6749
(818) 356-4380
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
543454
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912248915
—
CA
01
—
DU9640
MEDICARE RAILROAD PIN
CA
Enumeration date
03/15/2013
Last updated
05/04/2015
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