Individual
ANJALI JAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1200 NORTH STATE STREET, IRD 620, LOS ANGELES, CA 90031
(909) 910-5246
Mailing address
3755 SAVONA CT, CHINO, CA 91710-2034
(909) 910-5246
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A113442
CA
Other
Enumeration date
01/18/2011
Last updated
12/04/2021
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