Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | A79125 | CA |
N | 208600000X | Surgeon | A79125 | CA |
Y | 2086S0122X | Plastic and Reconstructive Surgery | A79125 | CA |
N | 2086S0122X | Plastic and Reconstructive Surgery | MD60013998 | WA |
NPI | 1225212442 |
---|---|
Provider Name | Dr. Jason Harris Pomerantz |
First Address | Seattle, WA 98105-1010 |
Second Address | San Francisco, CA 94117-3608 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/12/2007 |
Last Update Date | 02/04/2019 |