Individual
JASON A TOMLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11370 ANDERSON ST, SUITE 2100, LOMA LINDA, CA 92354-3450
(909) 558-2822
(909) 558-3905
Mailing address
54701 FILE NUMBER, LOS ANGELES, CA 90074-4701
(909) 558-3111
(909) 558-3905
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A79376
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A793760
—
CA
Enumeration date
07/04/2006
Last updated
11/22/2021
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