Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JONATHAN BOURNE, M.D.

Active Sole Proprietor

DR. JONATHAN BOURNE, M.D. is a Anesthesiology healthcare provider located in MAMMOTH LAKES, California. NPI 1013062660 is currently active in the NPPES registry. Verify at CMS.

Anesthesiology · MAMMOTH LAKES, CA

Registration Details

NPI Number: 1013062660
Provider Type: Individual
Gender: Male
NPI Issued: Jan 24, 2007 (19.548944992819 yrs)
Last Updated: Jul 23, 2010
License: G48548 (CA)
Sole Proprietor: Yes

Practice Information

Address: 85 SIERRA PARK RD

MAMMOTH LAKES, CA, 935460660
Browse CA providers · Browse ZIP 93546
Phone: 7609244078
Fax: 7609244058
Primary Specialty: Anesthesiology
207L00000X

Other Anesthesiology Providers in MAMMOTH LAKES, CA

Name	Credential	NPI
LARRY SILVER	M.D.	1760434369
KURT S SMITH	M.D.	1538115969
DR. CAROLYN MARIE SABA	MD	1508885039
DR. ERIC BOURNE	M.D.	1225470990

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.