Individual
JONATHAN LAM YUEN WATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
PO BOX 12078, SAN BERNARDINO, CA 92423-2078
(909) 353-5306
Mailing address
PO BOX 12078, SAN BERNARDINO, CA 92423-2078
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A107835
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/28/2008
Last updated
05/31/2024
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