person
Mr. Jake Watson JR., PHYSICIANASSISTANT
Medical Physician Assistant in Los Angeles, California
NPI 1861433393

Jake Watson JR. is a Medical Physician Assistant based in Los Angeles, CA and is specialized in Medical. Jake Watson JR. practices in Los Angeles, CA and has the professional credentials of PHYSICIANASSISTANT. The NPI Number for Jake Watson JR. is 1861433393 and holds a License No. 14184 (California).

The current practice location address for Jake Watson JR. is 11301 Wilshire Blvd, Los Angeles, CA and can be reached out via phone at 310-478-3711.

Location: 11301 Wilshire Blvd, Los Angeles, CA, 90018-4046
person
Provider Profile Details
NPI Number
1861433393
Provider Name
Jake Watson JR.
Credential
PHYSICIANASSISTANT
Provider Entity Type
Individual
Gender
Male
Address
11301 Wilshire Blvd, Los Angeles, CA, 90018-4046
Phone Number
310-478-3711
Fax Number
Provider Enumeration Date
06/08/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
11301 Wilshire Blvd
City
State
Zip
90073-1003
Phone Number
310-478-3711
Fax Number
person
Provider Business Mailing Address Details
Address
11301 Wilshire Blvd
City
State
Zip
90073-1003
Phone Number
310-478-3711
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
14184 (California)
Definition
Definition to come...
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