Individual
JONATHAN GO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2619 E COLORADO BLVD STE 150, PASADENA, CA 91107-3747
(626) 793-4168
Mailing address
1900 W GARVEY AVE S UNIT 335, WEST COVINA, CA 91790-2656
(626) 305-9100
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
18903
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2017
Last updated
12/14/2021
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