Organization
JONATHAN PHILLIPS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN PHILLIPS M.D. (PRESIDENT)
(949) 588-2190
Entity
Organization
Contact information
Practice address
18133 VENTURA BLVD, SUITE 400, TARZANA, CA 91356-3645
(818) 668-6200
Mailing address
5 HOLLAND, #101, IRVINE, CA 92618-2568
(949) 588-2190
(949) 588-2199
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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