Organization
RONALD G. JAN, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD G JAN M.D (PRESIDENT)
(916) 288-5055
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 #312, SUITE 312, SACRAMENTO, CA 95819
(916) 288-0055
(916) 288-0056
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
G22975
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G229750
—
CA
Enumeration date
03/20/2013
Last updated
03/20/2013
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