Hall, Michael Jason

Hall, Michael Jason is an individual health care provider with primary practice located at 1625 Schrader Blvd , Los Angeles CA 90028-6213. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hall, Michael Jason can be contacted via phone (323) 993-7500.

Contact Information

Primary practice address
1625 Schrader Blvd Los Angeles CA 90028-6213
Fax: (323) 308-4015
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A82333 California

Profile Details

NPI number 1396744850
LBN Legal business name Hall, Michael Jason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Feb 8th, 2018 - about 6 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396744850 NPPES
California MEDICAID 00A823330

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