Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | A66975 | CA |
NPI | 1922157320 |
---|---|
Provider Name | Dr. Jonathan Reitman |
First Address | Beverly Hills, CA 90211-3227 |
Second Address | Beverly Hills, CA 90211-3227 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2007 |
Last Update Date | 28/04/2016 |