Individual
DR. JAGAN BANSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5540 N FIGUEROA ST, LOS ANGELES, CA 90042-4120
(323) 478-1101
Mailing address
5540 N FIGUEROA ST, LOS ANGELES, CA 90042-4120
(323) 478-1101
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
A34128
CA
Other
Enumeration date
05/30/2005
Last updated
09/15/2011
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