Dr. Jonathan Bourne
Anesthesiologist
85 Sierra Park Rd
Mammoth Lakes
, California 93546-0660
Dr. Jonathan Bourne
Anesthesiologist
85 Sierra Park Rd
Mammoth Lakes
, California 93546-0660
(760) 924-4058
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About
Features
Specialties
- Anesthesiologist
Languages spoken
- English
Location
First Address
- Dr. Jonathan Bourne
- Po Box 660 85 Sierra Park Rd
- Mammoth Lakes, CA
- Zip : 93546-0660
- Fax : (760) 924-4058
- Phone : (760) 924-4078
Second Address
- Dr. Jonathan Bourne
- 85 Sierra Park Rd
- Mammoth Lakes, CA
- Zip : 93546-0660
- Fax : (760) 924-4058
- Phone : (760) 924-4078
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207L00000X | Anesthesiologist | G48548 | CA |
National Provider Identifier
| NPI | 1013062660 |
|---|---|
| Provider Name | Dr. Jonathan Bourne |
| First Address | Mammoth Lakes, CA 93546-0660 |
| Second Address | Mammoth Lakes, CA 93546-0660 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/01/2007 |
| Last Update Date | 23/07/2010 |
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.