Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN S JAIVIN, M.D.
ActiveJONATHAN S JAIVIN, M.D. is a Sports Medicine (Orthopaedic) healthcare provider located in VAN NUYS, California. NPI 1376561563 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Orthopaedic) · VAN NUYS, CA
Registration Details
- NPI Number
- 1376561563
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 17, 2006 (20.122082167876 yrs)
- Last Updated
- Aug 21, 2009
- Licenses
-
G71067 (CA)G71067 (CA)
Practice Information
- Address
-
6815 NOBLE AVEVAN NUYS, CA, 914053796Browse CA providers · Browse ZIP 91405
- Phone
- 8189016600
- Fax
- 8189977826
- Primary Specialty
-
Sports Medicine (Orthopaedic)
207XX0004X
- Additional Specialty
- Sports Medicine (Orthopaedic)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.