Van Tornout, Jan Marie-Albert

Van Tornout, Jan Marie-Albert is an individual health care provider with primary practice located at 4650 W Sunset Blvd Ms# 54, Los Angeles CA 90027-6062. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as his primary health care specialty. Van Tornout, Jan Marie-Albert can be contacted via phone (323) 669-2121.

Contact Information

Primary practice address
4650 W Sunset Blvd Ms# 54 Los Angeles CA 90027-6062
Fax: (323) 660-7128
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X A56406 California

Profile Details

NPI number 1659468239
LBN Legal business name Van Tornout, Jan Marie-Albert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Jul 8th, 2007 - about 18 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 1659468239 NPPES
California MEDICAID 00A564060

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