Individual provider · Type 1 NPI

Jonathan Dallas, MD

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

NPI number 1811524515 Active

Practice location

1200 N State St Ste 3300
Los Angeles, CA 90033-1029

Call (323) 409-7422 Map

Fax (323) 226-7833

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 1811524515

Jonathan Dallas, MD's National Provider Identifier is 1811524515, issued on Mar 24, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Nov 27, 2023.