Healthcare Provider Details

I. General information

NPI: 1578593430
Provider Name (Legal Business Name): JONAS JOHANNES KUEHNE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 03/20/2025
Certification Date: 03/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 NORTH LA CIENEGA BLVD
LOS ANGELES CA
90048
US

IV. Provider business mailing address

8340 RIDPATH DR
LOS ANGELES CA
90046-7710
US

V. Phone/Fax

Practice location:
  • Phone: 310-980-3578
  • Fax:
Mailing address:
  • Phone: 310-980-3578
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code202D00000X
TaxonomyIntegrative Medicine Physician
License NumberA88749
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: