Madhukar B. Jigjinni, M.d., Inc. | |
999 N Tustin Ave Ste 115 Santa Ana CA 92705-6505 | |
(714) 973-2188 | |
(714) 973-2187 |
Full Name | Madhukar B. Jigjinni, M.d., Inc. |
---|---|
Speciality | Internal Medicine - Gastroenterology |
Location | 999 N Tustin Ave Ste 115, Santa Ana, California |
Authorized Official Name and Position | Madhukar B. Jigjinni (OFFICER) |
Authorized Official Contact | 7149732188 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Madhukar B. Jigjinni, M.d., Inc. 999 N Tustin Ave Ste 115 Santa Ana CA 92705-6505 Ph: (714) 973-2188 | Madhukar B. Jigjinni, M.d., Inc. 999 N Tustin Ave Ste 115 Santa Ana CA 92705-6505 Ph: (714) 973-2188 |
NPI Number | 1487923207 |
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Provider Enumeration Date | 12/22/2011 |
Last Update Date | 12/22/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487923207 | NPI | - | NPPES |
00A353200 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | A35320 (California) | Primary |
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