Organization
RONALD G. JAN, M.D. INC
Active
Organization
RONALD G. JAN, M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD G. JAN M.D. (PRESIDENT)
(916) 288-0055
Entity
Organization
Contact information
Practice address
5025 J ST, SUITE #312, SACRAMENTO, CA 95819
(916) 288-0055
(916) 288-0056
Mailing address
5025 J ST, SUITE #312, SACRAMENTO, CA 95819
(916) 288-0055
(916) 288-0056
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
G22975
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518429
—
CA
Enumeration date
08/10/2017
Last updated
08/10/2017
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