Provider Information for 1598234742
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JONATHAN PEARSON MA
Other Names:Other Name:JACK PEARSONSex: Male
NPI: 1598234742
Last Updated: 2023-12-20
Certification Date: 2023-12-20
Certification Date: 2023-12-20
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1598234742 | ||||||||
| Enumeration Date | 2018-11-16 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 680 LANGSDORF DR STE 219 FULLERTON, CA 92831-3702 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 680 LANGSDORF DR STE 219 FULLERTON, CA 92831-3702 United States Phone: 714-922-0539 | Fax: | ||||||||
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