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MR. JASON ISONG ALLEN PA-C

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1891963419

Individual Registrant:
MR. JASON ISONG ALLEN PA-C
Gender: M
Not Sole Proprietor

Location and contact information for practice:
26520 CACTUS AVE  MORENO VALLEY, CA 92555-3927 US
Tel: 909-486-4000  Fax: --

Contact information for business:
7161 EAST AVE APT 82  RANCHO CUCAMONGA, CA 91739-5919 US
Tel: 909-463-7907  Fax: --

Registration Information:
NPI: 1891963419
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
CA19615

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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