Individual
JASON LAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
101 THE CITY DR S, DEPARTMENT OF NEUROSURGERY, BUILDING 56, ORANGE, CA 92868-3201
(714) 456-5814
Mailing address
3708 HOWARD AVE, LOS ALAMITOS, CA 90720-3660
(562) 882-6802
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00228000
NJ
363AS0400X
Surgical Physician Assistant
Primary
PA20661
CA
Other
Enumeration date
11/03/2009
Last updated
01/19/2022
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