Individual
JONATHAN SISTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1520 SAN PABLO ST STE 3800, LOS ANGELES, CA 90033-5328
(323) 442-5720
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-5720
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A191950
CA
Other
Enumeration date
06/01/2016
Last updated
07/09/2024
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