Individual
DR. JONATHAN DANIEL SALK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11980 SAN VICENTE BLVD, SUITE 810, LOS ANGELES, CA 90049-5012
(310) 824-0258
(310) 824-7818
Mailing address
11980 SAN VICENTE BLVD, SUITE 810, LOS ANGELES, CA 90049-5012
(310) 824-0258
(310) 824-7818
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
Primary
G 62404
CA
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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