Individual provider · Type 1 NPI

Jonathan Wongsavanh, DO

Student in an Organized Health Care Education/Training Program · Merced, CA

NPI number 1043070451 Active

Practice location

315 E 13th St
Merced, CA 95341-6211

Mailing address

315 Mercy Ave Ste 301
Merced, CA 95340-8367

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1043070451

Jonathan Wongsavanh, DO's National Provider Identifier is 1043070451, issued on Mar 21, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Merced, CA. The record was last updated on Mar 21, 2024.