Individual
JASON SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3816 VIRGINIA RD, LOS ANGELES, CA 90008-1809
(310) 946-8921
Mailing address
500 W QUEEN ST APT 9, INGLEWOOD, CA 90301-4767
(310) 946-8921
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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