| Doctor Name: | DR. JONATHAN S. FISHER |
| NPI Number: | 1063490670 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | A79829 |
| Business Practice Address: | 10666 N Torrey Pines Rd La Jolla, CA - 920371027 |
| Business Phone Number: | 8585544310 |
| Business Fax Number: | 8587845922 |
| Mailing Address: | File# 54433, LOS ANGELES |
| State: | CA |
| Postal Code: | 900740001 |
| Phone Number: | 8587845906 |
| Fax Number: | 8587845922 |
| NPI Enumeration Date: | 01/04/2006 |
| NPI Last Update Date: | 12/07/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204F00000X |
| License Number: | A79829 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Transplant Surgery |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |