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Organization

SANJIV KUMAR JAIN, MD., A CALIFORNIA MEDICAL CORPORATION

Active
Parent organization
SANJIV KUMAR JAIN, MD., A CALIFORNIA MEDICAL CORPORATION
Other names
LA AMBULATORY SURGERY CENTER, INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
SANJIV KUMAR JAIN, MD., A CALIFORNIA MEDICAL CORPORATION
Authorized official
DR. SANJIV KUMAR JAIN MD (PRESIDENT)
(818) 366-0474
Entity
Organization

Contact information

Practice address
11177 TAMPA AVE STE B, NORTHRIDGE, CA 91326-2254
(818) 366-0474
(818) 360-6319
Mailing address
PO BOX 8000, NORTHRIDGE, CA 91327-8000
(818) 366-0474
(818) 360-6319

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A47841
CA
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A47841
CA

Other

Enumeration date
06/29/2017
Last updated
06/29/2017
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