Individual provider · Type 1 NPI

Jonathan Edward Casillas

Medical Physician Assistant · Los Angeles, CA

NPI number 1114150927 Active

Practice location

3945 Whittier Blvd.
Los Angeles, CA 90023-1104

Call (323) 223-6146 Map

Fax (323) 223-6399

Mailing address

3345 Michelson Dr Ste 100
Irvine, CA 92612-0693

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA20136 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1114150927

Jonathan Edward Casillas's National Provider Identifier is 1114150927, issued on Aug 26, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 13, 2021.