Individual
JONATHAN BARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18646 OXNARD ST, TARZANA, CA 91356-1411
(818) 996-1051
Mailing address
7240 LANKERSHIM BLVD APT 222, NORTH HOLLYWOOD, CA 91605-3817
(818) 232-1752
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
CA
Other
Enumeration date
12/04/2024
Last updated
09/22/2025
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