Individual
JON NOTHWANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3291 LOMA VISTA RD, VENTURA, CA 93003
(805) 642-8565
(805) 642-8564
Mailing address
3418 LOMA VISTA RD, SUITE A, VENTURA, CA 93003
(805) 642-8565
(805) 642-8564
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G66219
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G662190
—
CA
Enumeration date
12/21/2006
Last updated
07/29/2008
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