Provider Demographics
NPI:1760981716
Name:JOINT PRESERVATION INSTITUTE, A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:JOINT PRESERVATION INSTITUTE, A PROFESSIONAL CORPORATION
Other - Org Name:JOINT PRESERVATION INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AMIR
Authorized Official - Middle Name:A
Authorized Official - Last Name:JAMALI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:925-322-2908
Mailing Address - Street 1:21C ORINDA WAY # 148
Mailing Address - Street 2:
Mailing Address - City:ORINDA
Mailing Address - State:CA
Mailing Address - Zip Code:94563-2534
Mailing Address - Country:US
Mailing Address - Phone:925-322-2908
Mailing Address - Fax:925-322-2911
Practice Address - Street 1:100 N WIGET LN STE 200
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-5901
Practice Address - Country:US
Practice Address - Phone:925-322-2908
Practice Address - Fax:925-322-2911
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JOINT PRESERVATION INSTITUTE, WALNUT CREEK
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-02-06
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA061055261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty