Dr. Jake David Donaldson, M.D.
Family Medicine in Ventura, CA. Individual provider (NPI-1).
NPI number1801026257
StatusActive
Last updated in NPPESDec 13, 2012
Details
- NPI
- 1801026257
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jake David Donaldson
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 20, 2009
- Last updated
- Dec 13, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | A116010 | CA | Yes |
Practice location
3291 Loma Vista RdVentura, CA 93003-3099
Phone 805-652-6228
Mailing address
3291 Loma Vista RdVentura, CA 93003-3099
Phone 805-652-6228
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