JONAS FORTIN OBISPO

SANTA MONICA, CA
NPI1699350074
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  95015686)
Enumeration Date2021-03-16
Last Update Date2025-10-02
Business Address
Mr. JONAS FORTIN OBISPO NP
1250 16TH ST # C2304
SANTA MONICA, CA 90404-1249
Phone number: 310-319-4698
Mailing Address
Mr. JONAS FORTIN OBISPO NP
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 90045-5631
Phone number: 310-301-8707
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