Individual
MR. JASON RYAN LOMHEIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2801 ATLANTIC AVE, LONG BEACH, CA 90806-1701
(714) 943-2453
Mailing address
7322 YELLOWTAIL DR UNIT 101, HUNTINGTON BEACH, CA 92648-2448
(714) 943-2453
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
53761
CA
Other
Enumeration date
04/27/2016
Last updated
09/13/2016
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