# JASON SNIBBE MD PROFESSIONAL MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093072217
- **Authorized official:** JASON SNIBBE M.D. (OWNER)
- **Authorized official phone:** (310) 860-3084

## Contact information

- **Practice address:** 8436 W 3RD ST STE 800, LOS ANGELES, CA 90048-4100
- **Practice address phone:** (310) 860-3048
- **Practice address fax:** (310) 550-7680
- **Mailing address:** 120 S SPALDING DR, SUITE 401, BEVERLY HILLS, CA 90212-1842
- **Mailing address phone:** (310) 860-3081
- **Mailing address fax:** (310) 652-2568

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | A83463 | CA | Yes |

## Other

- **Enumeration date:** 04/12/2012
- **Last updated:** 01/22/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | A83463 | MEDICAL LICENSE | CA |