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:
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Health care specialties

SpecialtyCodeLicense #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 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568535615 NPPES
California MEDICAID 00A330960

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