MEDICARE: AJIT HEALTHCARE INC.

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	314000000X	Skilled Nursing Facility		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	:	1861489668
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AJIT HEALTHCARE INC.

Provider Business Mailing Address
First Line	:	316 S WESTLAKE AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90057-4500
Country	:	US
Telephone Number	:	213-484-0510
Fax Number	:	213-484-5931

Provider Business Practice Location Address
First Line	:	316 S WESTLAKE AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90057-4500
Country	:	US
Telephone Number	:	213-484-0510
Fax Number	:	213-484-5931

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

Provider Enumeration Date	:	10/05/2005
Last Update Date	:	08/22/2020

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Directions to “AJIT HEALTHCARE INC. ” Practice Location

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