Search › California › 1041C0700X
Jonathan Pannor
NPI 1518023589 · on the registry since 2006 · sole proprietor
Practice
- Address
- 24 Roundtree Blvd
San Rafael, CA 94903 - Phone
- (415) 777-4008
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-02-19
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