Healthcare Provider Details

I. General information

NPI: 1861489668
Provider Name (Legal Business Name): AJIT HEALTHCARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 S WESTLAKE AVE
LOS ANGELES CA
90057-4500
US

IV. Provider business mailing address

316 S WESTLAKE AVE
LOS ANGELES CA
90057-4500
US

V. Phone/Fax

Practice location:
  • Phone: 213-484-0510
  • Fax: 213-484-5931
Mailing address:
  • Phone: 213-484-0510
  • Fax: 213-484-5931

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateCA

VIII. Authorized Official

Name: DR. JASVANT N MODI
Title or Position: PRESIDENT/CEO
Credential: M.D.
Phone: 213-999-7011