Lally, Jason Eugene

Lally, Jason Eugene is an individual health care provider with primary practice located at 1000 W Carson St , Torrance CA 90502. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Neuroradiology is his primary health care specialty. Lally, Jason Eugene can be contacted via phone (310) 222-2345.

Contact Information

Primary practice address
1000 W Carson St Torrance CA 90502
Phone: (310) 222-2345
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X R4583 Texas
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X R4583 Texas

Profile Details

NPI number 1396094652
LBN Legal business name Lally, Jason Eugene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2012
Last updated Aug 7th, 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 1396094652 NPPES
Texas MEDICAID 385426701
Texas Other 385426702

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