Watson, Jake

Watson, Jake is an individual health care provider with primary practice located at 11301 Wilshire Blvd , Los Angeles CA 90073-1003. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Watson, Jake can be contacted via phone (310) 478-3711.

Contact Information

Primary practice address
11301 Wilshire Blvd Los Angeles CA 90073-1003
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 14184 California

Profile Details

NPI number 1861433393
LBN Legal business name Watson, Jake
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Jul 8th, 2007 - about 17 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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