Dascalos, Jane

Dascalos, Jane is an individual health care provider with primary practice located at 1245 16Th St Ste 100 , Santa Monica CA 90404-1255. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Dascalos, Jane can be contacted via phone (310) 301-6800.

Contact Information

Primary practice address
1245 16Th St Ste 100 Santa Monica CA 90404-1255
Phone: (310) 301-6800
Fax: (310) 794-9035
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A88728 California

Profile Details

NPI number 1710159447
LBN Legal business name Dascalos, Jane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2008
Last updated Dec 11th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710159447 NPPES
California Other 00A887280 BLUE SHIELD
California MEDICAID 00A887280 BLUE SHIELD
California MEDICAID 1710159447 BLUE SHIELD

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