Individual
JONATHAN LESLIE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1901 W LUGONIA AVE STE 310, REDLANDS, CA 92374-9706
(909) 557-1600
(909) 557-1732
Mailing address
1801 ORANGE TREE LN STE 200, REDLANDS, CA 92374-4587
(909) 557-1600
(909) 557-1732
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A106877
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/29/2007
Last updated
02/19/2020
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