Jana Jaderborg, Md, Inc

LBN: Jana Jaderborg, Md, Inc
Jana Jaderborg, Md, Inc is an health care organization with primary practice located at 1575 S Railroad Ave , Crescent City CA 95531-6821. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Jana Jaderborg, Md, Inc can be contacted via phone (541) 332-5753, or through Jaderborg, Jana via phone (541) 332-5753.

Contact Information

Primary practice address
1575 S Railroad Ave Crescent City CA 95531-6821
Fax: (541) 749-2130
Website:
Authorized official contact:
Name: Jaderborg, Jana Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X A77111 California

Profile Details

NPI number 1235140393
LBN Legal business name Jana Jaderborg, Md, Inc
DBA Doing business as
Authorized official Jaderborg, Jana Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235140393 NPPES
California MEDICAID 00A771110

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