Search › California › 111N00000X
Jon Gundlach
NPI 1225457369 · on the registry since 2014 · sole proprietor
Practice
- Address
- 17524 Von Karman Ave
Irvine, CA 92614 - Phone
- (949) 722-7070
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-04-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California