Individual provider · NPI-1
Jeremie Calais, MD
Nuclear Medicine, Nuclear Imaging & Therapy · Los Angeles, CA
NPI number1053927079
StatusActive
Last updated in NPPESSep 16, 2020
Details
- NPI
- 1053927079
- Entity type
- Individual (NPI-1)
- Name
- Jeremie Calais
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 16, 2020
- Certification date
- Sep 16, 2020
- Last updated
- Sep 16, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207UN0902X | Nuclear Medicine, Nuclear Imaging & Therapy | SPI645 | CA | Yes |
Practice location
200 Medical Plaza Suite B114Los Angeles, CA 90095-0001
Phone 310-794-1005
Mailing address
5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Phone 310-301-5138
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