Organization
JONATHAN NASSOS PC
Active
Organization
JONATHAN NASSOS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN T NASSOS MD (OWNER/PRESIDENT)
(310) 273-2731
Entity
Organization
Contact information
Practice address
5651 SEPULVEDA BLVD, SUITE 201, SHERMAN OAKS, CA 91411-2916
(818) 788-2400
(818) 788-2400
Mailing address
5651 SEPULVEDA BLVD, SUITE 201, SHERMAN OAKS, CA 91411-2916
(818) 788-2400
(818) 788-2453
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Enumeration date
08/12/2012
Last updated
07/07/2014
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