Codilla, Jason Joshua

Codilla, Jason Joshua is an sole proprietor health care provider with primary practice located at 2500 Merced St , San Leandro CA 94577-4201. He recently has only one registered license in Eye and Vision Services Providers / Technician/Technologist, which is considered as his primary health care specialty. Codilla, Jason Joshua can be contacted via phone (510) 454-1000.

Contact Information

Primary practice address
2500 Merced St San Leandro CA 94577-4201
Phone: (510) 454-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Technician/Technologist 156F00000X

Profile Details

NPI number 1053172692
LBN Legal business name Codilla, Jason Joshua
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2024
Last updated Jan 22nd, 2024 - about 10 months ago

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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