Organization
SOCAL MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON AARON WALTER DAVID (MEMBER)
(657) 999-5679
Entity
Organization
Contact information
Practice address
1500 S ANAHEIM BLVD, SUITE 160, ANAHEIM, CA 92805-6242
(657) 999-5679
Mailing address
1500 S ANAHEIM BLVD, SUITE 160, ANAHEIM, CA 92805-6242
(657) 999-5679
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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