Mthombeni, Jonathan J

Mthombeni, Jonathan J is an individual health care provider with primary practice located at 25051 Redlands Blvd , Loma Linda CA 92354-4099. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mthombeni, Jonathan J can be contacted via phone (909) 478-7776.

Contact Information

Primary practice address
25051 Redlands Blvd Loma Linda CA 92354-4099
Phone: (909) 478-7776
Fax: (909) 478-7768
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A464931 California

Profile Details

NPI number 1417992009
LBN Legal business name Mthombeni, Jonathan J
Credentials M.D.,M.P.H.,F.A.A.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Nov 5th, 2009 - about 15 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 1417992009 NPPES
California MEDICAID 00A464931

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