Most Relevant Information
Provider Data
| NPI Number: | 1003227372 |
| Provider Name: | JONATHAN OKMAN M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207N00000X |
| Specialty: | Dermatology |
| License Number: | A137860 |
Most Important Dates
| Enumeration Date: | 05/08/2014 |
| Last Updated: | 05/19/2022 |
Provider Practice Location
500 ALFRED NOBEL DR STE 245
HERCULES
CA
945471843
Practice Location Phone/Fax
| Phone: | 5107417418 |
| Fax: | 5107417456 |
Provider Mailing Location
500 ALFRED NOBEL DR STE 245
HERCULES
CA
945471843
Provider Mailing Phone/Fax
| Phone: | 5107417418 |
| Fax: | 5107417456 |