Most Relevant Information
Provider Data
| NPI Number: | 1003643925 |
| Provider Name: | JASON YAN |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/16/2024 |
| Last Updated: | 09/16/2024 |
Provider Practice Location
947 COLE AVE
LOS ANGELES
CA
900382610
Practice Location Phone/Fax
| Phone: | 3237696100 |
| Fax: |
Provider Mailing Location
947 COLE AVE
LOS ANGELES
CA
900382610
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |