Healthcare Provider Details

I. General information

NPI: 1417053729
Provider Name (Legal Business Name): ATUL JANI INC A MEDICAL CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2006
Last Update Date: 01/27/2023
Certification Date: 01/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

236 SAN JOSE ST
SALINAS CA
93901-3901
US

IV. Provider business mailing address

416B MAIN ST
SALINAS CA
93901-3306
US

V. Phone/Fax

Practice location:
  • Phone: 831-422-2666
  • Fax: 831-772-0892
Mailing address:
  • Phone: 831-800-7887
  • Fax: 831-998-7155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: ATUL NATWAR JANI
Title or Position: DIRECTOR
Credential:
Phone: 831-422-2666