Individual
JONATHAN NASSERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1534 N MOORPARK RD, STE 290, THOUSAND OAKS, CA 91360-5129
(805) 522-2500
Mailing address
1534 N MOORPARK RD, STE 290, THOUSAND OAKS, CA 91360-5129
(805) 522-2500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34611
AZ
207R00000X
Internal Medicine Physician
A92026
CA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
A92026
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005207
—
AZ
05
—
1005053
—
CA
Enumeration date
06/17/2006
Last updated
12/15/2015
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