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General NPI Number Information
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NPI Number | 1144199324
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Entity Type | Organization
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Legal Business Name | JONATHAN GO DO INC
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Dates
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Enumeration Date | 11/04/2025
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 10861 CHERRY ST UNIT 204
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City | LOS ALAMITOS
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State | CA
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Zip | 90720
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Country | US
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Telephone | 562-248-6845
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Fax |
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Provider Business Mailing Address
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Address Line | 4276 KATELLA AVE # 281
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-3562
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Country | US
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Telephone | 562-248-6845
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JONATHAN GO
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Credential | DO
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Telephone | 562-248-6845
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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