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1336516277
JONATHAN GHIAM
LOS ANGELES, CA
NPI
1336516277
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 20A16421)
Enumeration Date
2015-08-26
Last Update Date
2018-07-12
Business Address
Dr. JONATHAN GHIAM D.O.
1401 S GRAND AVE
LOS ANGELES, CA 90015
Phone number: 772-398-7936
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Mailing Address
Dr. JONATHAN GHIAM D.O.
10501 WILSHIRE BLVD UNIT 1411
LOS ANGELES, CA 90024-6314
Phone number: 213-748-2411
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