Mrdjen, Jasna B.

Mrdjen, Jasna B. is an sole proprietor health care provider with primary practice located at 14125 Capri Dr Ste 1A, Los Gatos CA 95032-1500. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Mrdjen, Jasna B. can be contacted via phone (408) 374-4423.

Contact Information

Primary practice address
14125 Capri Dr Ste 1A Los Gatos CA 95032-1500
Fax: (408) 374-2619
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X A31833 California

Profile Details

NPI number 1326071564
LBN Legal business name Mrdjen, Jasna B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 9th, 2006
Last updated Mar 15th, 2010 - about 15 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 1326071564 NPPES
California MEDICAID 00A318330

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