GASTON JEREMIAH

ORANGE, CA
NPI1518310333
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: CA  55591)
Additional Taxonomies363A00000X Physician Assistant
(Licence: CT  3746)
363AS0400X Physician Assistant, Surgical
(Licence: CT  3746)
Enumeration Date2016-07-16
Last Update Date2024-06-21
Business Address
GASTON JEREMIAH Physician Assistant
1310 W STEWART DR STE 503
ORANGE, CA 92868-3856
Phone number: 714-997-2224
Mailing Address
GASTON JEREMIAH Physician Assistant
820 SUNGROVE PL
BREA, CA 92821-4130
Phone number: 646-299-2402