Individual
DR. JONATHAN DAVID SHIFREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
359 SAN MIGUEL DR, SUITE 206, NEWPORT BEACH, CA 92660-7812
(949) 729-1731
(949) 721-9194
Mailing address
359 SAN MIGUEL DR, SUITE 206, NEWPORT BEACH, CA 92660-7812
(949) 729-1731
(949) 721-9194
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
G75154
CA
Other
Enumeration date
01/02/2007
Last updated
10/18/2007
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