Individual
DR. JONATHAN DANIEL KIVITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
435 N ROXBURY DR STE 311, BEVERLY HILLS, CA 90210-5005
(310) 201-0355
(310) 657-0986
Mailing address
435 N ROXBURY DR STE 311, BEVERLY HILLS, CA 90210-5005
(310) 201-0355
(310) 657-0986
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G56796
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G56796
CALIFORNIA LISCENSE
CA
Enumeration date
06/08/2005
Last updated
03/26/2010
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