Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 254820 | NY |
Y | 207X00000X | Orthopaedic Surgeon | A128003 | CA |
NPI | 1003132127 |
---|---|
Provider Name | Dr. Jonathan Oheb |
First Address | Encino, CA 91316-2844 |
Second Address | Encino, CA 91316-2844 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2010 |
Last Update Date | 19/12/2018 |