Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A131298 | CA |
N | 111NI0900X | Internist | A131298 | CA |
Y | 207RC0200X | Critical Care Medicine | A131298 | CA |
N | 207RP1001X | Pulmonary Disease | A131298 | CA |
NPI | 1033435953 |
---|---|
Provider Name | Jason Evan Prasso |
First Address | Los Angeles, CA 90095-3075 |
Second Address | Los Angeles, CA 90095-3075 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2010 |
Last Update Date | 12/07/2017 |