DR. Jonathan Masami Mori, M.D.

NPI #1861777104 in Beale Afb, California

Provider Information

NPI Number: 1861777104
Entity Type: Individual
Name: DR. Jonathan Masami Mori, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Oct 19, 2011
Last Updated: May 27, 2020

Practice Location

Address: 15301 WARREN SHINGLE RD
City: Beale Afb
State: California
ZIP Code: 95903-1907
Phone: (530) 634-4662

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Preventive Medicine - Aerospace Medicine — Aerospace Medicine	2083A0100X
Internal Medicine	207R00000X	Primary

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