Individual
DR. JASON PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ND
Contact information
Practice address
3454 CASTLE GLEN DR, #226, SAN DIEGO, CA 92123-2443
(805) 368-4183
Mailing address
3454 CASTLE GLEN DR, #226, SAN DIEGO, CA 92123-2443
(805) 368-4183
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
830
CA
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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