Individual
JONATHAN ANGUS CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMAA
Contact information
Practice address
204 HAMPTON DR, VENICE, CA 90291-8633
(310) 396-6468
Mailing address
204 HAMPTON DR, VENICE, CA 90291-8633
(310) 396-6468
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
CA
Other
Enumeration date
07/28/2026
Last updated
07/28/2026
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