Individual
JONATHAN ISAAC MACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8635 W THIRD STREET, SUITE 360W, LOS ANGELES, CA 90048-6101
(310) 657-2777
(310) 657-0356
Mailing address
8635 W THIRD STREET, SUITE 360W, LOS ANGELES, CA 90048-6101
(310) 657-2777
(310) 657-0356
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G35551
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G355510
—
CA
Enumeration date
07/24/2006
Last updated
02/14/2020
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