Individual
DR. JASON M POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 423-1477
Mailing address
100 E 14TH ST, CHICAGO, IL 60605-2889
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01082811A
IN
207L00000X
Anesthesiology Physician
Primary
A187366
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2018
Last updated
06/27/2025
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