Provider Demographics
NPI:1932126570
Name:AU, JANET P (MD)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:P
Last Name:AU
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:14445 OLIVE VIEW DR # 2B182
Mailing Address - Street 2:OLUVE VIEW UCLA MED CTR
Mailing Address - City:SYLMAR
Mailing Address - State:CA
Mailing Address - Zip Code:91342-1437
Mailing Address - Country:US
Mailing Address - Phone:818-364-3205
Mailing Address - Fax:818-364-4573
Practice Address - Street 1:14445 OLIVE VIEW DR # 2B182
Practice Address - Street 2:OLIVE VIEW UCLA MED CTR
Practice Address - City:SYLMAR
Practice Address - State:CA
Practice Address - Zip Code:91342-1437
Practice Address - Country:US
Practice Address - Phone:818-364-3205
Practice Address - Fax:818-364-4573
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA39101207R00000X, 207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Not Answered207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Not Answered207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
E10573Medicare UPIN