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Jason Shupe, D.o., An Osteopathic Corporation
Medical Specialty Clinic/Center in San Dimas, California
NPI 1992366223

Jason Shupe, D.o., An Osteopathic Corporation is a Medical Specialty Clinic/Center based in San Dimas, CA and is specialized in Medical Specialty. Jason Shupe, D.o., An Osteopathic Corporation practices in San Dimas, CA. The NPI Number for Jason Shupe, D.o., An Osteopathic Corporation is 1992366223 and holds a License No. (California).

The current practice location address for Jason Shupe, D.o., An Osteopathic Corporation is 554 E Foothill Blvd Ste 120, San Dimas, CA and can be reached out via phone at 909-248-3437 and via fax at 844-380-6565.

Location: 554 E Foothill Blvd Ste 120, San Dimas, CA, 91773-1222
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992366223
Provider Name
Jason Shupe, D.o., An Osteopathic Corporation
Credential
Provider Entity Type
Organization
Address
554 E Foothill Blvd Ste 120, San Dimas, CA, 91773-1222
Phone Number
909-248-3437
Fax Number
844-380-6565
Provider Enumeration Date
06/26/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
554 E Foothill Blvd Ste 120
City
San Dimas
State
California
Zip
91773-1222
Phone Number
909-248-3437
Fax Number
844-380-6565
person
Provider Business Mailing Address Details
Address
554 E Foothill Blvd Ste 120
City
San Dimas
State
California
Zip
91773-1222
Phone Number
909-248-3437
Fax Number
844-380-6565
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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