Individual
JASON OVERBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1501 TROUSDALE DR, BURLINGAME, CA 94010-4506
(650) 696-5382
Mailing address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
(650) 696-5382
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
22049
CA
Other
Enumeration date
03/14/2013
Last updated
12/07/2021
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