Reuben Jonson is a Specialist based in Hawthorne, CA. Reuben Jonson practices in Los Angeles, CA. The NPI Number for Reuben Jonson is 1336332477 and holds a License No. (California).
The current practice location address for Reuben Jonson is 4211 Avalon Blvd, Los Angeles, CA and can be reached out via phone at 323-233-0425.
Location: 4211 Avalon Blvd, Los Angeles, CA, 90250-0012
Provider Profile Details
NPI Number
1336332477
Provider Name
Reuben Jonson
Credential
Provider Entity Type
Individual
Gender
Male
Address
4211 Avalon Blvd, Los Angeles, CA, 90250-0012
Phone Number
323-233-0425
Fax Number
Provider Enumeration Date
08/22/2007
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265520183 | 05 | CA | |
| 1306922554 | 05 | CA | |
| 1841342318 | 05 | CA |
Provider Business Practice Location Address Details
Address
4211 Avalon Blvd
City
State
Zip
90011-5622
Phone Number
323-233-0425
Fax Number
Provider Business Mailing Address Details
Address
4211 Avalon Blvd
City
State
Zip
90011-5622
Phone Number
323-233-0425
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
()
Definition
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.
Badge
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