Mr. JASON KENNETH AGUSTIN PA-C
Individual Provider (NPI-1)
Active
Physician Assistant, Medical
Provider Information
- NPI Number
1861637274- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 136 BRIDGE ST, SAN GABRIEL, CA, 917752720
- Phone
- (562) 833-0184
Specialties & Taxonomies
Physician Assistant, Medical
Primary License: CA #PA20040