Provider Demographics
NPI:1962681239
Name:ROBERT L JONES MD INC
Entity Type:Organization
Organization Name:ROBERT L JONES MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD OPHTHALMOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-644-0239
Mailing Address - Street 1:1401 AVOCADO STREET
Mailing Address - Street 2:SUITE 505
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-8722
Mailing Address - Country:US
Mailing Address - Phone:949-644-0239
Mailing Address - Fax:949-644-0461
Practice Address - Street 1:1401 AVOCADO STREET
Practice Address - Street 2:SUITE 505
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-8722
Practice Address - Country:US
Practice Address - Phone:949-644-0239
Practice Address - Fax:949-644-0461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-02
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG51540207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G51540Medicaid
CA00G51540Medicaid
CAG51540Medicare Oscar/Certification