Individual
DR. JASON P KELLOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17782 COWAN, SUITE A, IRVINE, CA 92614-6030
(949) 722-7118
(949) 722-7119
Mailing address
17782 COWAN, STE A, IRVINE, CA 92614
(949) 722-7118
(949) 579-9102
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A66130
CA
Other
Enumeration date
07/03/2006
Last updated
06/23/2017
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