Organization
JSHEARD MD INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN S HEARD MD (CEO)
(562) 595-9771
Entity
Organization
Contact information
Practice address
4025 CAMINO DEL RIO S, STE 250, SAN DIEGO, CA 92108-4107
(619) 285-5990
(619) 285-5988
Mailing address
3628 E IMPERIAL HWY, STE 401, LYNWOOD, CA 90262-2643
(562) 595-9771
(562) 590-3175
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
G59961
CA
Other
Enumeration date
11/19/2010
Last updated
12/22/2010
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