Individual
JONATHAN KIRSHBLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9071 AIRDROME ST, LOS ANGELES, CA 90035-4241
(845) 608-4271
Mailing address
9071 AIRDROME ST, LOS ANGELES, CA 90035-4241
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
113232
CA
Other
Enumeration date
07/07/2026
Last updated
07/07/2026
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