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Organization

JASON M. CUELLAR, M.D., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JASON M CUELLAR M.D. (PRESIDENT AND SECRETARY)
(917) 744-9052
Entity
Organization

Contact information

Practice address
450 N ROXBURY DR FL 3, BEVERLY HILLS, CA 90210-4238
(310) 385-7766
Mailing address
450 N ROXBURY DR FL 3, BEVERLY HILLS, CA 90210-4238
(310) 385-7766

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
A135554
CA

Other

Enumeration date
05/03/2016
Last updated
06/20/2016
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