Individual
JONATHAN ALAN ABELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2230 LYNN RD STE 103, THOUSAND OAKS, CA 91360-1958
(805) 496-4111
(805) 496-2861
Mailing address
2230 LYNN RD STE 103, THOUSAND OAKS, CA 91360-1958
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
2085R0001X
Radiation Oncology Physician
Primary
A105322
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730348053
—
CA
Enumeration date
06/02/2008
Last updated
08/05/2022
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