Individual
JASON EVAN PRASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12021 WILMINGTON AVE. BLDG 11, SUITE1000, LOS ANGELES, CA 90059
(424) 529-6755
Mailing address
12021 WILMINGTON AVE STE 1000, LOS ANGELES, CA 90059-3019
(424) 529-6755
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A131298
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A131298
CA
207RP1001X
Pulmonary Disease Physician
Primary
A131298
CA
Other
Enumeration date
04/16/2010
Last updated
09/22/2025
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