Individual
JONATHAN PAUL MAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2800 L ST FL 6, SACRAMENTO, CA 95816-5616
(916) 887-4040
(916) 887-4045
Mailing address
10470 OLD PLACERVILLE RD STE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
C159950
CA
207RC0001X
Clinical Cardiac Electrophysiology Physician
MT200414
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT200414
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
871559
—
AZ
Enumeration date
08/02/2011
Last updated
01/22/2019
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