Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
JASON K BOUTROS M D INC
Active
Organization
JASON K BOUTROS M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY CHON (ADMINISTRATOR)
(626) 798-8923
Entity
Organization
Contact information
Practice address
2750 E WASHINGTON BLVD, SUITE 260, PASADENA, CA 91107-1448
(626) 798-8923
(626) 798-0258
Mailing address
2750 E WASHINGTON BLVD, SUITE 260, PASADENA, CA 91107-1448
(626) 798-8923
(626) 798-0258
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A42891
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0076360
—
CA
Enumeration date
05/01/2007
Last updated
01/28/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up