Search › California › 1223X0400X
Jonathan Gao
NPI 1497503676 · on the registry since 2024 · sole proprietor
Practice
- Address
- 11368 Fairwind Ct
San Diego, CA 92130 - Phone
- (858) 602-2422
Registry record
- Primary taxonomy
- 1223X0400X
1223X0400X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-05-11
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