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Jason Joshua Codilla
Technician/Technologist in San Leandro, California
NPI 1053172692

Jason Joshua Codilla is a Technician/Technologist based in San Ramon, CA. Jason Joshua Codilla practices in San Leandro, CA. The NPI Number for Jason Joshua Codilla is 1053172692 and holds a License No. (California).

The current practice location address for Jason Joshua Codilla is 2500 Merced St, San Leandro, CA and can be reached out via phone at 510-454-1000.

Location: 2500 Merced St, San Leandro, CA, 94583-1411
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053172692
Provider Name
Jason Joshua Codilla
Credential
Provider Entity Type
Individual
Gender
Male
Address
2500 Merced St, San Leandro, CA, 94583-1411
Phone Number
510-454-1000
Fax Number
Provider Enumeration Date
01/22/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2500 Merced St
City
San Leandro
State
California
Zip
94577-4201
Phone Number
510-454-1000
Fax Number
person
Provider Business Mailing Address Details
Address
2500 Merced St
City
San Leandro
State
California
Zip
94577-4201
Phone Number
510-454-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
-
Taxonomy
156F00000X
License No.
()
Definition
A broad category grouping different kinds of technologists and technicians. See individual definitions.
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