Individual
MR. JASON JAMILANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6060 N PARAMOUNT BLVD, LONG BEACH, CA 90805-3711
(562) 790-1860
Mailing address
210 CITY BLVD W APT 113, ORANGE, CA 92868-2928
(949) 274-3202
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
MPSS-QKCFOG
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/13/2020
Last updated
05/07/2024
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