Individual
JONATHAN CHODOSH STROK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(714) 509-8622
(714) 509-3601
Mailing address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95015030
CA
Other
Enumeration date
08/26/2020
Last updated
09/25/2020
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