Healthcare Provider Details

I. General information

NPI: 1851419337
Provider Name (Legal Business Name): JASJEET MIGLANI-NAYAR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2007
Last Update Date: 05/24/2021
Certification Date: 05/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

RIVERSIDE UNIV HEALTH SYSTEM 4095, COUNTY CIRCLE DR
RIVERSIDE CA
92503
US

IV. Provider business mailing address

RIVERSIDE UNIVERSITY HEALTH SYSTEM-BEAHVIORAL HEALTH 4095 COUNTY CIRCLE DRIVE
RIVERSIDE CA
92503
US

V. Phone/Fax

Practice location:
  • Phone: 323-791-1962
  • Fax: 951-413-5660
Mailing address:
  • Phone: 951-413-5678
  • Fax: 951-413-5660

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberA62373
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: