| Jagan N. Bansal, M.d., Inc. | |
|
16660 Paramount Blvd Suite 100 Paramount CA 90723-5433 | |
| (562) 259-1200 | |
| Not Available |
| Full Name | Jagan N. Bansal, M.d., Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 16660 Paramount Blvd, Paramount, California |
| Authorized Official Name and Position | Jagan Nath Bansal (CEO) |
| Authorized Official Contact | 3234781101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jagan N. Bansal, M.d., Inc. 5540 N Figueroa St Los Angeles CA 90042-4120 Ph: (323) 478-1101 | Jagan N. Bansal, M.d., Inc. 16660 Paramount Blvd Suite 100 Paramount CA 90723-5433 Ph: (562) 259-1200 |
| NPI Number | 1669703559 |
|---|---|
| Provider Enumeration Date | 01/18/2010 |
| Last Update Date | 01/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669703559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A34128 (California) | Primary |
| 207R00000X | Internal Medicine | A100339 (California) | Secondary |
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