Individual
JASON K AN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4445 MAGNOLIA AVE, RIVERSIDE COMMUNITY HOSPITAL DEPT OF EMERGENCY MEDICINE, RIVERSIDE, CA 92501-4135
(951) 684-3910
Mailing address
4445 MAGNOLIA AVE, RIVERSIDE COMMUNITY HOSPITAL DEPT OF EMERGENCY MEDICINE, RIVERSIDE, CA 92501-4135
(951) 684-3910
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A113121
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2009
Last updated
02/06/2013
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