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General NPI Number Information
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NPI Number | 1962425892
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Entity Type | Individual
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Provider Name | ROBERT KEVIN JONES M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 24451 HEALTH CENTER DR
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-3689
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Country | US
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Telephone | 949-837-4500
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Fax | 949-837-4621
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Provider Business Mailing Address
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Address Line | PO BOX 10429
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City | NEWPORT BEACH
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State | CA
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Zip | 92658-0429
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Country | US
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Telephone | 949-417-1812
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Fax | 949-417-1803
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | G54785
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License Number State | CA
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