MEDICARE: DR. NAVELLE E JONES M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	A46469	CA

General Provider Information

NPI Number	:	1184769358
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NAVELLE E JONES M.D.

Provider Business Mailing Address
First Line	:	1801 TEVIS AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90815-4545
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	403 S LONG BEACH BLVD
Second Line	:	STE B
City	:	COMPTON
State	:	CA
Zip	:	90221-3449
Country	:	US
Telephone Number	:	323-774-6551
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	07/08/2007

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