Individual
JAYANTA KUMAR PAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16756 CHINO CORONA RD, CORONA, CA 92880-9508
(732) 823-2941
Mailing address
26284 PASEO SILLIN, SAN JUAN CAPISTRANO, CA 92675-5004
(732) 823-2941
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
25MA07649700
NJ
2084P0800X
Psychiatry Physician
Primary
C158290
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017680
—
NJ
Enumeration date
10/03/2006
Last updated
01/19/2025
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