Individual
JASON RAYMOND KONDRAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 340-3911
(760) 773-1440
Mailing address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 340-3911
(760) 773-1440
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20A20804
CA
Other
Enumeration date
04/28/2020
Last updated
08/01/2023
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