MEDICARE: ADITYA JONES D.O.

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	390200000X	Student in an Organized Health Care Education/Training Program
2	207RI0200X	Infectious Disease Physician	20A16353	CA

General Provider Information

NPI Number	:	1255884771
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADITYA JONES D.O.

Provider Business Mailing Address
First Line	:	1801 GARVEY AVE APT 211
Second Line	:
City	:	ALHAMBRA
State	:	CA
Zip	:	91803-5214
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11833 WILMINGTON AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90059-3015
Country	:	US
Telephone Number	:	323-568-8727
Fax Number	:

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

Provider Enumeration Date	:	08/02/2016
Last Update Date	:	02/21/2023

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