Individual provider · Type 1 NPI

Jonathan Jenesis Cavazos

Rehabilitation Practitioner · Corona, CA

NPI number 1174835235 Active

Practice location

2275 S Main St, Ste. 201
Corona, CA 92882-5303

Call (951) 279-1333 Map

Fax (951) 279-8333

Mailing address

2944 S Peach Tree Pl
Ontario, CA 91761-7543

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1174835235

Jonathan Jenesis Cavazos's National Provider Identifier is 1174835235, issued on Jul 6, 2010. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Corona, CA. The record was last updated on Jun 3, 2013.