Individual
MR. JASON MATTHEW JANOIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5750 DOWNEY AVE STE 308, LAKEWOOD, CA 90712-1482
(562) 633-3787
(562) 633-1977
Mailing address
PO BOX 15848, NEWPORT BEACH, CA 92659-5848
(657) 241-3600
(657) 241-7708
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
56342
CA
363AS0400X
Surgical Physician Assistant
Primary
56342
CA
Other
Enumeration date
11/12/2018
Last updated
10/27/2021
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