Doctor Name: | DR. NICHOLAS N JONAS |
NPI Number: | 1003132234 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D |
License Number: | A126512 |
Business Practice Address: | 12291 Washington Blvd 303 Whittier, CA - 906062500 |
Business Phone Number: | 5626986296 |
Business Fax Number: | 5626936752 |
Mailing Address: | 12291 Washington Blvd, 303 WHITTIER |
State: | CA |
Postal Code: | 906062500 |
Phone Number: | 5626986296 |
Fax Number: | 5626936752 |
NPI Enumeration Date: | 04/13/2010 |
NPI Last Update Date: | 06/06/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | A126512 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |