Individual
JASON MARK SAUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, APRN, FNP-BC
Contact information
Practice address
1510 SAN PABLO ST STE 200, LOS ANGELES, CA 90033-5311
(323) 442-5908
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-5908
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP95000405
CA
363LF0000X
Family Nurse Practitioner
95000405
CA
Other
Enumeration date
02/26/2014
Last updated
03/17/2018
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