Provider Demographics
NPI:1851617211
Name:JONES, COURTNEY LYNNE (DO)
Entity Type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:LYNNE
Last Name:JONES
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:27871 MEDICAL CENTER RD
Mailing Address - Street 2:SUITE 140
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691
Mailing Address - Country:US
Mailing Address - Phone:949-218-5437
Mailing Address - Fax:949-218-4137
Practice Address - Street 1:27871 MEDICAL CENTER RD
Practice Address - Street 2:SUITE 140
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691
Practice Address - Country:US
Practice Address - Phone:949-218-5437
Practice Address - Fax:949-218-4137
Is Sole Proprietor?:No
Enumeration Date:2010-04-10
Last Update Date:2018-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A12010208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics