Individual
DR. JASON TESTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11362 MISSOURI AVE APT B, LOS ANGELES, CA 90025-5554
(917) 767-1059
Mailing address
11362 MISSOURI AVE APT B, LOS ANGELES, CA 90025-5554
(917) 767-1059
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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