Most Relevant Information
Provider Data
| NPI Number: | 1003459850 |
| Provider Name: | JASMINE E GILLETT PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | PA61222152 |
Most Important Dates
| Enumeration Date: | 10/24/2019 |
| Last Updated: | 09/23/2024 |
Provider Practice Location
200 UCLA MEDICAL PLZ STE B265
LOS ANGELES
CA
900951023
Practice Location Phone/Fax
| Phone: | 3108259775 |
| Fax: |
Provider Mailing Location
5767 W CENTURY BLVD STE 400
LOS ANGELES
CA
900455631
Provider Mailing Phone/Fax
| Phone: | 3103018707 |
| Fax: |