JONATHAN EDWARD CASILLAS

LOS ANGELES, CA
NPI1114150927
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CA  pa20136)
Enumeration Date2009-08-26
Last Update Date2021-09-13
Business Address
Mr. JONATHAN EDWARD CASILLAS
3945 WHITTIER BLVD.
LOS ANGELES, CA 90023-1104
Phone number: 323-223-6146
Mailing Address
Mr. JONATHAN EDWARD CASILLAS
3345 MICHELSON DR STE 100
IRVINE, CA 92612-0693
Phone number: 888-227-3312