Individual provider · Type 1 NPI

Reuben Jonson

Specialist · Los Angeles, CA

NPI number 1336332477 Active

Practice location

4211 Avalon Blvd
Los Angeles, CA 90011-5622

Call (323) 233-0425 Map

Mailing address

13715 Cordary Ave Apt 271
Hawthorne, CA 90250-0012

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: 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.

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About NPI 1336332477

Reuben Jonson's National Provider Identifier is 1336332477, issued on Aug 22, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Los Angeles, CA. The record was last updated on Nov 20, 2007.