Individual
DR. JONATHAN HARLEY KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11710 WILSHIRE BLVD, LOS ANGELES, CA 90025-1503
(310) 821-5441
(424) 832-1452
Mailing address
11710 WILSHIRE BLVD, LOS ANGELES, CA 90025-1503
(310) 828-5441
(424) 832-1452
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A153127
CA
Other
Enumeration date
04/08/2013
Last updated
12/11/2019
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