Mr. Jonathan David Trumble, IDC

Individual provider Preferred Provider Organization · NPI 1841562535

Mr. Jonathan David Trumble, IDC is a Preferred Provider Organization in LA Mesa, California. Practices as a sole proprietor. Registered with an NPI since 2012.

In the registry since: 2012

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Practice location Address checks out

4640 Harbinson Ave
LA Mesa, CA 91942-8753
Phone: (949) 981-8957

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Preferred Provider Organization (primary)	Taxonomy 305R00000X

Record details

NPI number	1841562535
Entity type	Individual (Type 1)
Gender	Male
Credentials	IDC
Sole proprietor	Yes
NPI enumerated	January 27, 2012
Last updated in NPPES	January 27, 2012