Individual
JASON SHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
24331 EL TORO RD, SUITE 200, LAGUNA WOODS, CA 92637-2752
(949) 586-3200
(949) 900-2136
Mailing address
24331 EL TORO RD, SUITE 200, LAGUNA WOODS, CA 92637-2752
(949) 586-3200
(949) 900-2136
Taxonomy
Speciality
Code
Description
License number
State
246ZX2200X
Orthopedic Assistant
Primary
NBCOT12-0611
CA
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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