Individual
DR. JONATHAN SETH WILENSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4510 EXECUTIVE DR, SUITE 105, SAN DIEGO, CA 92121-3021
(858) 945-5720
Mailing address
2867 VIA POSADA, LA JOLLA, CA 92037
(858) 945-5720
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A93345
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
A93345
CA
Other
Enumeration date
11/29/2005
Last updated
08/12/2013
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