Maria Jan, MD
Internal Medicine in Agoura Hills, CA. Individual provider (NPI-1).
NPI number1306136718
StatusActive
Last updated in NPPESApr 15, 2021
Details
- NPI
- 1306136718
- Entity type
- Individual (NPI-1)
- Name
- Maria Jan
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 19, 2011
- Certification date
- Apr 15, 2021
- Last updated
- Apr 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | A131530 | CA | Yes |
Other names
- Maria Ikhlas (Former Name)
Practice location
29525 Canwood St Ste 300Agoura Hills, CA 91301-4232
Phone 818-706-2477 · Fax 818-706-2368
Mailing address
29525 Canwood St Ste 300Agoura Hills, CA 91301-4232
Phone 818-706-2477 · Fax 818-706-2368
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