Individual
MR. JUSTIN JASSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2051 MARENGO ST, LOS ANGELES, CA 90033-1352
(323) 409-1000
Mailing address
224 W DRYDEN ST APT 120, GLENDALE, CA 91202-3737
(818) 277-4442
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
95026095
CA
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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