Individual
DR. JASON ROOSTAEIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 UCLA MEDICAL PLZ STE 465, LOS ANGELES, CA 90095-8344
(310) 963-2252
Mailing address
200 UCLA MEDICAL PLZ STE 465, LOS ANGELES, CA 90095-8344
(310) 963-2252
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A103442
CA
Other
Enumeration date
10/07/2008
Last updated
06/12/2013
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