# JONATHAN H. KOENIG, MD - PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568265387
- **Authorized official:** DR. JONATHAN HARLEY KOENIG MD (ORTHOPAEDIC SURGEON)
- **Authorized official phone:** (310) 828-5441

## Contact information

- **Practice address:** 11710 WILSHIRE BLVD, LOS ANGELES, CA 90025-1503
- **Practice address phone:** (310) 828-5441
- **Practice address fax:** (424) 832-1452
- **Mailing address:** 11710 WILSHIRE BLVD, LOS ANGELES, CA 90025-1503
- **Mailing address phone:** (310) 828-5441
- **Mailing address fax:** (424) 832-1452

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/28/2025
- **Last updated:** 05/08/2025