NPI 1518574599

Jonathan Persa

Practitioner Perfusionist San Jose, CA

Practice location

Address: 500 Race St APT 4204, San Jose, CA 95126-5155
Phone: (503) 875-6267

Registered specialties

Perfusionist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 242T00000X Licence 179068 (CA)

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Registry record

NPI: 1518574599
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Sep 2020
Record last updated: 24 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.