MEDICARE: SEN JI MD

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	207RC0000X	Cardiovascular Disease Physician	A72488	CA
2	207RC0001X	Clinical Cardiac Electrophysiology Physician	A72488	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	:	1790715860
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEN JI MD

Provider Business Mailing Address
First Line	:	4867 W SUNSET BLVD
Second Line	:	6 TH FLOOR
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-5969
Country	:	US
Telephone Number	:	323-783-5850
Fax Number	:	323-783-8974

Provider Business Practice Location Address
First Line	:	4867 W SUNSET BLVD
Second Line	:	6 TH FLOOR
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-5969
Country	:	US
Telephone Number	:	323-783-5850
Fax Number	:	323-783-8974

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

Provider Enumeration Date	:	07/04/2006
Last Update Date	:	12/02/2021

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