Individual
DR. JONATHAN CREDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
4150 V ST # 1100, SACRAMENTO, CA 95817-1460
(916) 734-2737
Mailing address
4150 V ST # 1100, SACRAMENTO, CA 95817-1460
(916) 734-2737
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
PTL14557
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/18/2024
Last updated
07/07/2025
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