Individual
JASON WILLIAM DEGRAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
1225 WILSHIRE BLVD, LOS ANGELES, CA 90017-1901
(213) 977-2121
Mailing address
1225 WILSHIRE BLVD, LOS ANGELES, CA 90017-1901
(213) 977-2121
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95165644
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
95029925
CA
Other
Enumeration date
05/07/2022
Last updated
03/28/2026
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