MEDICARE: MS. JANICE MARIA EXUM M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	G066570	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174501225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JANICE MARIA EXUM M.D.

Provider Business Mailing Address
First Line	:	555 W COMPTON BLVD
Second Line	:	SUITE 202
City	:	COMPTON
State	:	CA
Zip	:	90220-3085
Country	:	US
Telephone Number	:	310-537-2440
Fax Number	:	310-537-3611

Provider Business Practice Location Address
First Line	:	555 W COMPTON BLVD
Second Line	:	SUITE 202
City	:	COMPTON
State	:	CA
Zip	:	90220-3085
Country	:	US
Telephone Number	:	310-537-2440
Fax Number	:	310-537-3611

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/07/2006
Last Update Date	:	07/08/2007

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