Individual
DR. JASON JENG PAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 UCLA MEDICAL PLAZA STE 205, LOS ANGELES, CA 90095-1003
(310) 208-5400
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A139259
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200114759
—
MO
Enumeration date
05/22/2014
Last updated
08/29/2025
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