Joe, Jonathan James

Joe, Jonathan James is an individual health care provider with primary practice located at 20687 Amar Rd Ste 6 , Walnut CA 91789-5045. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Joe, Jonathan James can be contacted via phone (909) 468-9622.

Contact Information

Primary practice address
20687 Amar Rd Ste 6 Walnut CA 91789-5045
Phone: (909) 468-9622
Fax: (909) 468-9230
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X CA 9905 T California

Profile Details

NPI number 1316036908
LBN Legal business name Joe, Jonathan James
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Jun 13th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316036908 NPPES
California MEDICAID SD 0099050

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