Individual
JONATHAN FREDRIC WAXER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4950 W SUNSET BLVD, LOS ANGELES, CA 90027-5821
(323) 783-2841
Mailing address
4950 W SUNSET BLVD, LOS ANGELES, CA 90027-5821
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
A163392
CA
Other
Enumeration date
04/09/2018
Last updated
07/13/2023
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