Individual
DR. JONATHAN S. FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10666 N TORREY PINES RD, LA JOLLA, CA 92037-1027
(858) 554-4310
(858) 784-5922
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 554-4310
(858) 554-4311
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
A79829
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A798290
—
CA
Enumeration date
01/04/2006
Last updated
07/19/2019
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