Provider Demographics
NPI:1891704888
Name:OWENS, JANIS F (MD)
Entity Type:Individual
Prefix:DR
First Name:JANIS
Middle Name:F
Last Name:OWENS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 11425
Mailing Address - Street 2:
Mailing Address - City:CARSON
Mailing Address - State:CA
Mailing Address - Zip Code:90749-1425
Mailing Address - Country:US
Mailing Address - Phone:310-669-9006
Mailing Address - Fax:310-669-9006
Practice Address - Street 1:20108 RADLETT AVE
Practice Address - Street 2:ROOM #4
Practice Address - City:CARSON
Practice Address - State:CA
Practice Address - Zip Code:90746-3139
Practice Address - Country:US
Practice Address - Phone:310-669-9006
Practice Address - Fax:310-669-9006
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-07
Last Update Date:2013-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG460212085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology