Lasala, Jason Bombales

Lasala, Jason Bombales is an sole proprietor health care provider with primary practice located at 1225 W 190Th St Ste 280 , Gardena CA 90248-4305. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Lasala, Jason Bombales can be contacted via phone (310) 515-8113.

Contact Information

Primary practice address
1225 W 190Th St Ste 280 Gardena CA 90248-4305
Phone: (310) 515-8113
Fax: (310) 538-2102
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95018499 California

Profile Details

NPI number 1821744178
LBN Legal business name Lasala, Jason Bombales
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 25th, 2022
Last updated Jul 19th, 2022 - about 2 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.

Request for update

Popular Providers