Individual
JONATHAN RICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
558 SAINT CHARLES DR STE 200, THOUSAND OAKS, CA 91360-3968
(805) 379-2322
(805) 379-2373
Mailing address
558 SAINT CHARLES DR STE 200, THOUSAND OAKS, CA 91360-3968
(805) 379-2322
(805) 379-2373
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA16576
CA
Other
Enumeration date
02/22/2007
Last updated
04/26/2018
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