Jonathan Edward Casillas Valid NPI

Individual provider · Medical Physician Assistant · Los Angeles, CA

NPI

1114150927

Type

Individual (Type 1)

Primary specialty

Medical Physician Assistant (Physician Assistant)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363AM0700X

License number

PA20136 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2009-08-26

Last updated

2021-09-13