Individual
DR. JASON DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9850 GENESEE AVE STE 900, LA JOLLA, CA 92037-1220
(858) 626-7780
Mailing address
9850 GENESEE AVE STE 900, LA JOLLA, CA 92037-1220
(858) 626-7780
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
047736
GA
208M00000X
Hospitalist Physician
047736
GA
208M00000X
Hospitalist Physician
Primary
C54005
CA
Other
Enumeration date
11/21/2005
Last updated
08/30/2022
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