JASON SAN JOSE CRUZ

WEST HOLLYWOOD, CA
NPI1437769791
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA58567)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2020-08-03
Last Update Date2021-09-08
Business Address
JASON SAN JOSE CRUZ PA-C
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048-1804
Phone number: 310-423-8780
Mailing Address
JASON SAN JOSE CRUZ PA-C
4140 W 190TH ST
TORRANCE, CA 90504-5513
Phone number: 310-423-8780
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