Provider Demographics
NPI:1821109083
Name:DUNCAN, JAN W (MD)
Entity Type:Individual
Prefix:DR
First Name:JAN
Middle Name:W
Last Name:DUNCAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:711 W COLLEGE ST
Mailing Address - Street 2:#625
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90012-1163
Mailing Address - Country:US
Mailing Address - Phone:323-267-0222
Mailing Address - Fax:213-621-4440
Practice Address - Street 1:711 W COLLEGE ST
Practice Address - Street 2:#625
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90012-1163
Practice Address - Country:US
Practice Address - Phone:323-267-0222
Practice Address - Fax:213-621-4440
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2010-03-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAC38275207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC38275OtherCALIFORNIA STATE LICENSE
CAWC38275CMedicare PIN
CAC38275OtherCALIFORNIA STATE LICENSE