Jasso, Michael D

Jasso, Michael D is an individual health care provider with primary practice located at 16008 Kamana Rd Ste 100, Apple Valley CA 92307-1376. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Jasso, Michael D can be contacted via phone (760) 956-5200.

Contact Information

Primary practice address
16008 Kamana Rd Ste 100 Apple Valley CA 92307-1376
Phone: (760) 956-5200
Fax: (760) 669-0793
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA18645 California

Profile Details

NPI number 1356404305
LBN Legal business name Jasso, Michael D
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Nov 3rd, 2021 - about 4 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 1356404305 NPPES
California Other PA18645 PHYSCIAN ASSISTAN LIC

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