Individual
JASON H DEUTSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3630 E IMPERIAL HWY, LYNWOOD, CA 90262-2636
(310) 900-2768
(310) 900-8852
Mailing address
PO BOX 4505, WOODLAND HILLS, CA 91365-4505
(800) 236-4469
(805) 375-8903
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G83031
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G830310
BLUE SHIELD OF CA
CA
05
—
00G830310
—
CA
Enumeration date
06/01/2006
Last updated
04/12/2011
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