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1831204627
JONATHAN WANAGAT
LOS ANGELES, CA
NPI
1831204627
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0300X Internal Medicine, Geriatric Medicine
(Licence: CA A107495)
Enumeration Date
2006-08-20
Last Update Date
2011-02-07
Business Address
-- JONATHAN WANAGAT MD PhD
200 MEDICAL PLZ SUITE 420
LOS ANGELES, CA 90095-0001
Phone number: 310-206-2583
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Mailing Address
-- JONATHAN WANAGAT MD PhD
5767 W CENTURY BLVD 200
LOS ANGELES, CA 90045-5631
Phone number: 310-206-7272
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