Dr JACK ANAVIAN is a male medical professional, specializing in Orthopedic Surgery. He graduated in 2007 from New York University School Of Medicine.
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
9961 SIERRA AVE
FONTANA
CA
923356720
Tel: 9094275000
| Npi | 1427286608 |
| Pac Id | 5092930768 |
| Professional Enrollment Id | I20161122001029 |
| Last Name | ANAVIAN |
| First Name | JACK |
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| Gender | M |
| Credential | |
| Medical School Name | NEW YORK UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | ORTHOPEDIC SURGERY |
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| Organization Legal Name | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP |
| Group Practice Pac Id | 6002729175 |
| Number Of Group Practice Members | 8118 |
| Line 1 Street Address | 9961 SIERRA AVE |
| Line 2 Street Address | |
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| City | FONTANA |
| State | CA |
| Zip Code | 923356720 |
| Phone Number | 9094275000 |
| Hospital Affiliation Ccn 1 | 050140 |
| Hospital Affiliation Lbn 1 | KAISER FOUNDATION HOSPITAL FONTANA |
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| Professional Accepts Medicare Assignment | Y |
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