Dr. Jonathan David Grossman
Pain Medicine
45 E River Park Pl W Suite 104
Fresno
, California 93720-1562
Dr. Jonathan David Grossman
Pain Medicine
45 E River Park Pl W Suite 104
Fresno
, California 93720-1562
(559) 453-5200
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About
Features
Specialties
- Pain Medicine
Languages spoken
- English
Location
First Address
- Dr. Jonathan David Grossman
- 2625 E Divisadero St
- Fresno, CA
- Zip : 93721-1431
- Phone : (559) 453-5200
Second Address
- Dr. Jonathan David Grossman
- 45 E River Park Pl W Suite 104
- Fresno, CA
- Zip : 93720-1562
- Fax : (559) 459-3750
- Phone : (559) 459-7300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2081P2900X | Pain Medicine | A98906 | CA |
National Provider Identifier
| NPI | 1225242332 |
|---|---|
| Provider Name | Dr. Jonathan David Grossman |
| First Address | Fresno, CA 93721-1431 |
| Second Address | Fresno, CA 93720-1562 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/05/2007 |
| Last Update Date | 17/03/2018 |
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.