person
Jason Bombales Lasala, NP
Psychiatric/Mental Health Nurse Practitioner in Gardena, California
NPI 1821744178

Jason Bombales Lasala is a Psychiatric/Mental Health Nurse Practitioner based in Gardena, CA and is specialized in Psychiatric/Mental Health. Jason Bombales Lasala practices in Gardena, CA and has the professional credentials of NP. The NPI Number for Jason Bombales Lasala is 1821744178 and holds a License No. 95018499 (California).

The current practice location address for Jason Bombales Lasala is 1225 W 190Th St Ste 280, Gardena, CA and can be reached out via phone at 310-515-8113 and via fax at 310-538-2102.

Location: 1225 W 190Th St Ste 280, Gardena, CA, 90248-4305
person
Provider Profile Details
NPI Number
1821744178
Provider Name
Jason Bombales Lasala
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
1225 W 190Th St Ste 280, Gardena, CA, 90248-4305
Phone Number
310-515-8113
Fax Number
310-538-2102
Provider Enumeration Date
02/25/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1225 W 190Th St Ste 280
City
State
Zip
90248-4305
Phone Number
310-515-8113
Fax Number
310-538-2102
person
Provider Business Mailing Address Details
Address
1225 W 190Th St Ste 280
City
State
Zip
90248-4305
Phone Number
310-515-8113
Fax Number
310-538-2102
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
95018499 (California)
Definition
Definition to come...
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