Individual
JASKARN S JOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10837 LAUREL ST, SUITE 103, RANCHO CUCAMONGA, CA 91730-7643
(909) 259-0903
(909) 466-7607
Mailing address
10837 LAUREL ST, SUITE 103, RANCHO CUCAMONGA, CA 91730-7643
(909) 259-0903
(909) 466-7607
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
20A11065
CA
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
11065
CA
Other
Enumeration date
06/26/2008
Last updated
03/30/2017
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