Provider Demographics
NPI:1760064158
Name:JONATHAN S. YUSON
Entity Type:Organization
Organization Name:JONATHAN S. YUSON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:YUSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-426-0141
Mailing Address - Street 1:100 N BRAND BLVD
Mailing Address - Street 2:SUITE 526
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203-2614
Mailing Address - Country:US
Mailing Address - Phone:818-426-0141
Mailing Address - Fax:
Practice Address - Street 1:100 N BRAND BLVD
Practice Address - Street 2:SUITE 526
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-2614
Practice Address - Country:US
Practice Address - Phone:818-426-0141
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-25
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty