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JYOTI S DATTA MD INC NPI 1033644075


NPI Information

NPI: 1033644075
Provider Name: JYOTI S DATTA MD INC
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
1045 ATLANTIC AVE STE 616
LONG BEACH, CA
ZIP 90813
Phone: (562) 435-4473
Get Directions

JYOTI S DATTA MD INC is a pulmonary disease internal medicine in Long Beach, CA. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. JYOTI S DATTA MD INC NPI is 1033644075. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1045 ATLANTIC AVE STE 616
LONG BEACH, CA
ZIP 90813-411
Phone: (562) 435-4473
Fax: (562) 437-6937

The provider's authorized official is Jeannie C Savage .
The authorized official title is Office Manager and has the following contact phone number (562) 435-4473.

The enumeration date for this NPI number is 4/27/2017 and was last updated on 5/8/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RP1001XInternal MedicinePulmonary DiseaseA33096CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A33096MEDICARE PINCALIFORNIA
2A27035MEDICARE PINCALIFORNIA
300A330960MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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