Individual
DR. JOHNATHAN S. HALPERIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5525 GROSSMONT CENTER DR, LA MESA, CA 91942-3009
(619) 644-6826
(619) 644-1208
Mailing address
5525 GROSSMONT CENTER DR, LA MESA, CA 91942-3009
(619) 644-6826
(619) 644-1208
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
G62759
CA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
G62759
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G627590
—
CA
Enumeration date
08/09/2006
Last updated
06/19/2013
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