Jeffrey Ijadi
Family Doctor - Sports Medicine
1601 Monte Vista Ave Suite 100
Claremont
, California 91711-2962
Jeffrey Ijadi
Family Doctor - Sports Medicine
1601 Monte Vista Ave Suite 100
Claremont
, California 91711-2962
(909) 946-0211
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Jeffrey Ijadi
- 1601 Monte Vista Ave Suite 100
- Claremont, CA
- Zip : 91711-2962
- Fax : (909) 946-0211
- Phone : (909) 630-7938
Second Address
- Jeffrey Ijadi
- 1601 Monte Vista Ave Suite 100
- Claremont, CA
- Zip : 91711-2962
- Fax : (909) 946-0211
- Phone : (909) 630-7938
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QS0010X | Family Doctor - Sports Medicine | A126442 | CA |
National Provider Identifier
| NPI | 1134415854 |
|---|---|
| Provider Name | Jeffrey Ijadi |
| First Address | Claremont, CA 91711-2962 |
| Second Address | Claremont, CA 91711-2962 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/06/2011 |
| Last Update Date | 10/12/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.