Dr. Jon Walter Maclean
Pediatrician
1420 S Miller St Suite J
Santa Maria
, California 93454-6959
Dr. Jon Walter Maclean
Pediatrician
1420 S Miller St Suite J
Santa Maria
, California 93454-6959
(805) 922-7972
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Dr. Jon Walter Maclean
- 1420 S Miller St
- Santa Maria, CA
- Zip : 93454-6959
- Fax : (805) 922-7972
- Phone : (805) 922-3573
Second Address
- Dr. Jon Walter Maclean
- 1420 S Miller St Suite J
- Santa Maria, CA
- Zip : 93454-6959
- Fax : (805) 922-7972
- Phone : (805) 922-3573
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 20A6626 | CA |
National Provider Identifier
| NPI | 1003827825 |
|---|---|
| Provider Name | Dr. Jon Walter Maclean |
| First Address | Santa Maria, CA 93454-6959 |
| Second Address | Santa Maria, CA 93454-6959 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/08/2006 |
| Last Update Date | 10/02/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00AX66260 | (05) | CA |
| H16769 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.