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Individual
DR. JASON S. PAEK
Active
Individual
DR. JASON S. PAEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G58208
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004332734
AETNA
—
01
—
00G582080
BLUE SHIELD
—
05
—
00G582081
—
CA
01
—
912171732
BLUE CROSS
CA
01
—
912171732A
HEALTH NET
CA
01
—
TRICARE
912171732 91789 A001
CA
Enumeration date
10/05/2006
Last updated
01/09/2019
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