Jason K Boutros is a Specialist in Pasadena, California. Jason K Boutros practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jason K Boutros is 1942243563. The last update date is 2017-02-02.
Jason K Boutros's current location address is 2554 E Washington Blvd, Pasadena, California. You can contact this provider via phone number 6267988923 and fax number 6267980258. The mailing address for Jason K Boutros is 2554 E Washington Blvd, Pasadena, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason K Boutros |
|---|---|
| Address | 2554 E Washington Blvd, Pasadena, California |
| Phone Number | 6267988923 |
| Fax Number | 6267980258 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1942243563 |
|---|---|
| Provider Enumeration Date | 2006-06-13 |
| Last Updated Date | 2017-02-02 |
Provider Mailing Address Detail
| Address | 2554 E Washington Blvd |
|---|---|
| City | Pasadena |
| State | California (CA) |
| Post Code | 911071445 |
| Phone Number | 6267988923 |
| Fax Number | 6267980258 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | A42891 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A42891 | CA | -- | |
| A42891 | CA | LICENSE NO. |
Post Comment/ Review Below
What is the unique identification code assigned to Jason K Boutros by the Centers for Medicare & Medicaid Services?
The Jason K Boutros has been issued the NPI (National Provider Identifier) 1942243563. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Jason K Boutros's facilities are geographically located?
The facilities of Jason K Boutros are physically situated at the following location: 2554 E Washington Blvd, Pasadena, CA, 911071445.
What is Jason K Boutros's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jason K Boutros's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
When did the Jason K Boutros receive its 1942243563?
The Jason K Boutros was issued its 1942243563 on 2006-06-13, which is the date when the organization was assigned this unique identifier.
When was the information regarding Jason K Boutros, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jason K Boutros, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-02-02.
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