Jason Alexander Mallett, MD
Emergency Medicine in San Diego, CA. Individual provider (NPI-1).
NPI number1366079931
StatusActive
Last updated in NPPESJun 6, 2024
Details
- NPI
- 1366079931
- Entity type
- Individual (NPI-1)
- Name
- Jason Alexander Mallett
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 24, 2020
- Certification date
- Jun 6, 2024
- Last updated
- Jun 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | A189449 | CA | Yes |
Practice location
200 W Arbor DrSan Diego, CA 92103-9000
Phone 832-407-2263
Mailing address
200 W Arbor DrSan Diego, CA 92103-9000
Other practice locations
10710 N Torrey Pines Rd
La Jolla, CA 92037-1035
La Jolla, CA 92037-1035
Phone 858-554-8638
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