Organization
JONATHAN SALUTA MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN R SALUTA M.D. (OWNER AND PHYSICIAN)
(213) 482-2992
Entity
Organization
Contact information
Practice address
2200 WEST 3RD STREET, SUITE 400, LOS ANGELES, CA 90057-1901
(213) 484-7600
(213) 484-7111
Mailing address
1245 WILSHIRE BLVD, SUITE 200, LOS ANGELES, CA 90017-4810
(212) 482-2992
(213) 482-2999
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A95794
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A95794
LICENSE
CA
01
—
W15810
IND MC PTAN
CA
Enumeration date
10/15/2012
Last updated
10/15/2012
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