Jonathan R Stella, MD
in San Luis Obispo, CA. Individual provider (NPI-1).
NPI number1790787141
StatusActive
Last updated in NPPESOct 21, 2022
Details
- NPI
- 1790787141
- Entity type
- Individual (NPI-1)
- Name
- Jonathan R Stella
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 15, 2005
- Certification date
- Oct 21, 2022
- Last updated
- Oct 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0001X | A43943 | CA | Yes |
Practice location
100 Casa StSuite C
San Luis Obispo, CA 93405-1883
Phone 805-541-1932 · Fax 805-541-1653
Mailing address
Po Box 849697Los Angeles, CA 90084-9697
Phone 805-648-5191 · Fax 805-648-3458
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