Provider Demographics
NPI:1881766186
Name:JONES, CHRISTIAN CONSTANTIN (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:CONSTANTIN
Last Name:JONES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 DELBON AVE STE 8
Mailing Address - Street 2:
Mailing Address - City:TURLOCK
Mailing Address - State:CA
Mailing Address - Zip Code:95382-2008
Mailing Address - Country:US
Mailing Address - Phone:209-226-4644
Mailing Address - Fax:
Practice Address - Street 1:1000 DELBON AVE STE 8
Practice Address - Street 2:
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95382
Practice Address - Country:US
Practice Address - Phone:209-226-4644
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV7871207N00000X
CAA49251207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV32088Medicare ID - Type Unspecified
NVE45823Medicare UPIN