| Shilpa Jindani Inc | |
|
925 Broadbeck Dr Ste 210 Newbury Park CA 91320-1271 | |
| (805) 573-1547 | |
| (805) 480-3820 |
| Full Name | Shilpa Jindani Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 925 Broadbeck Dr Ste 210, Newbury Park, California |
| Authorized Official Name and Position | Rahul Jindani (MANAGER) |
| Authorized Official Contact | 8055731547 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shilpa Jindani Inc 5109 Via El Molino Newbury Park CA 91320-6993 Ph: (805) 573-1547 | Shilpa Jindani Inc 925 Broadbeck Dr Ste 210 Newbury Park CA 91320-1271 Ph: (805) 573-1547 |
| NPI Number | 1740821065 |
|---|---|
| Provider Enumeration Date | 10/08/2019 |
| Last Update Date | 03/14/2020 |
| Medicare PECOS PAC ID | 9830527035 |
|---|---|
| Medicare Enrollment ID | O20200323001597 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740821065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Shilpa Jindani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669485322 PECOS PAC ID: 8729045265 Enrollment ID: I20041215000959 |
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