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NPI Code Detail

MEDICARE: JON KRAMER MD

MEDICARE: JON KRAMER MD
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
1207Q00000XFamily Medicine PhysicianG54187CA
2208000000XPediatrics PhysicianG54187CA

General Provider Information

NPI Number : 1962402941
Entity Type Code : Individual
Provider Name (Legal Business Name) : JON KRAMER MD
Provider Business Mailing Address
First Line : 4300 ROSE DR
Second Line :
City : YORBA LINDA
State : CA
Zip : 92886-2026
Country : US
Telephone Number : 714-577-6677
Fax Number : 714-577-6625
Provider Business Practice Location Address
First Line : 4300 ROSE DR
Second Line :
City : YORBA LINDA
State : CA
Zip : 92886-2026
Country : US
Telephone Number : 714-528-4211
Fax Number : 714-579-6868
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2005
Last Update Date : 11/05/2021

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