Jem, Jason

Jem, Jason is an sole proprietor health care provider with primary practice located at 4489 Spencer St #112, Torrance CA 90503-2454. He recently has only one registered license in Behavioral Health & Social Service Providers / Forensic, which is considered as his primary health care specialty. Jem, Jason can be contacted via phone (310) 977-9160.

Contact Information

Primary practice address
4489 Spencer St #112 Torrance CA 90503-2454
Phone: (310) 977-9160
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Forensic 103TF0200X

Profile Details

NPI number 1679856033
LBN Legal business name Jem, Jason
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2011
Last updated Sep 22nd, 2011 - about 13 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 1679856033 NPPES
California MEDICAID 953893470

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