Individual
MR. JON DAVID BESERRA II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
25825 VERMONT AVE, HARBOR CITY, CA 90710-3518
(310) 325-5111
Mailing address
8073 PAGE ST, BUENA PARK, CA 90621-3842
(702) 469-1946
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95001053
CA
Other
Enumeration date
02/12/2019
Last updated
12/21/2021
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