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1114150927
JONATHAN EDWARD CASILLAS
LOS ANGELES, CA
NPI
1114150927
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA pa20136)
Enumeration Date
2009-08-26
Last Update Date
2021-09-13
Business Address
Mr. JONATHAN EDWARD CASILLAS
3945 WHITTIER BLVD.
LOS ANGELES, CA 90023-1104
Phone number: 323-223-6146
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Mailing Address
Mr. JONATHAN EDWARD CASILLAS
3345 MICHELSON DR STE 100
IRVINE, CA 92612-0693
Phone number: 888-227-3312
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