NPI 1013099936

Jagan N. Bansal, M.D., INC.

Organisation Family Medicine Physician Los Angeles, CA

Practice location

Address: 443 S Soto St, Los Angeles, CA 90033-4315
Phone: (323) 263-6103
Fax: (323) 263-2004
Mailing address: 5540 N Figueroa St, Los Angeles, CA 90042-4120

Authorised official

Name: Jagan Nath Bansal
Title: Ceo
Phone: (323) 478-1101

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in California →

Registry record

NPI: 1013099936
Entity type: Organization
NPI issued: 19 Oct 2006
Record last updated: 15 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.