Jyoti S Datta Md Inc

LBN: Jyoti S Datta Md Inc
Jyoti S Datta Md Inc is an health care organization with primary practice located at 1045 Atlantic Ave Ste 616 , Long Beach CA 90813-3411. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as the primary health care specialty. Jyoti S Datta Md Inc can be contacted via phone (562) 435-4473, or through Savage, Jeannie C via phone (562) 435-4473.

Contact Information

Primary practice address
1045 Atlantic Ave Ste 616 Long Beach CA 90813-3411
Phone: (562) 435-4473
Fax: (562) 437-6937
Website:
Map and Directions
Authorized official contact:
Name: Savage, Jeannie C
Phone: (562) 435-4473

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X A33096 California

Profile Details

NPI number 1033644075
LBN Legal business name Jyoti S Datta Md Inc
DBA Doing business as
Authorized official Savage, Jeannie C
Entity Organization
Organization subpart 1 No
Enumeration date Apr 27th, 2017
Last updated May 8th, 2017 - about 7 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 1033644075 NPPES
California MEDICAID 00A330960

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