Provider Demographics
NPI:1306831912
Name:ATIGA, JON J (MD)
Entity Type:Individual
Prefix:DR
First Name:JON
Middle Name:J
Last Name:ATIGA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:12925 HILARY WAY
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-7466
Mailing Address - Country:US
Mailing Address - Phone:909-389-9504
Mailing Address - Fax:
Practice Address - Street 1:27699 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-2697
Practice Address - Country:US
Practice Address - Phone:951-699-6115
Practice Address - Fax:951-699-1235
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA437022080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine