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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