Datta, Jyoti S
Datta, Jyoti S is an sole proprietor health care provider with primary practice located at 1045 Atlantic #616 , Long Beach CA 90813. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Datta, Jyoti S can be contacted via phone (562) 435-4473.Contact Information
Primary practice address
1045 Atlantic #616
Long Beach CA 90813
Phone: (562) 435-4473
Fax: (562) 437-6937
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | A33096 | California |
Profile Details
| NPI number | 1568535615 |
|---|---|
| LBN Legal business name | Datta, Jyoti S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2006 |
| Last updated | Apr 24th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568535615 | NPPES |
| California | MEDICAID | 00A330960 |
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