Individual
JASON JOSEPH WATERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25821 VERMONT AVE, COASTLINE MEDICAL OFFICE - DEPARTMENT OF ORTHOPEDICS, HARBOR CITY, CA 90710-3518
(424) 251-7371
Mailing address
25821 VERMONT AVE, COASTLINE MEDICAL OFFICE - DEPARTMENT OF ORTHOPEDICS, HARBOR CITY, CA 90710-3518
(424) 251-7371
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
A108207
CA
Other
Enumeration date
09/27/2007
Last updated
11/29/2021
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