Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | A98512 | CA |
NPI | 1194944603 |
---|---|
Provider Name | Dr. Jason Aron Litner |
First Address | West Hollywood, CA 90069-3701 |
Second Address | West Hollywood, CA 90069-3701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2007 |
Last Update Date | 04/10/2007 |