Agustin, Jason Kenneth

Agustin, Jason Kenneth is an individual health care provider with primary practice located at 136 Bridge St , San Gabriel CA 91775-2720. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Agustin, Jason Kenneth can be contacted via phone (562) 833-0184.

Contact Information

Primary practice address
136 Bridge St San Gabriel CA 91775-2720
Phone: (562) 833-0184
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA20040 California

Profile Details

NPI number 1861637274
LBN Legal business name Agustin, Jason Kenneth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2008
Last updated May 5th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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