Individual
DR. JONATHAN J MTHOMBENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,M.P.H.,F.A.A.P.
Contact information
Practice address
25051 REDLANDS BLVD, LOMA LINDA, CA 92354-4099
(909) 478-7776
(909) 478-7768
Mailing address
25051 REDLANDS BLVD, LOMA LINDA, CA 92354-4099
(909) 478-7776
(909) 478-7768
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A464931
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A464931
—
CA
Enumeration date
06/18/2006
Last updated
11/05/2009
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