Individual provider · NPI-1

Jason Fine

Respiratory Therapist, Registered, General Care · Woodland Hills, CA

NPI number1649758087
StatusActive
Last updated in NPPESJul 28, 2018

Details

NPI
1649758087
Entity type
Individual (NPI-1)
Name
Jason Fine
Sex
Male
Sole proprietor
No
Enumeration date
Jul 28, 2018
Last updated
Jul 28, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2279G1100X Respiratory Therapist, Registered, General Care31318CAYes
227900000X Respiratory Therapist, Registered31318CA

Practice location

5601 De Soto Ave
Woodland Hills, CA 91367-6701

Phone 818-719-2000

Mailing address

5601 De Soto Ave
Woodland Hills, CA 91367-6701

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