Individual provider · Type 1 NPI
Jason Ryan Lomheim, PA-C
Medical Physician Assistant · Long Beach, CA
NPI number
1124473178
Active
Practice location
2801 Atlantic Ave
Long Beach, CA 90806-1701
Mailing address
7322 Yellowtail Dr Unit 101
Huntington Beach, CA 92648-2448
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 53761 (CA) |
Medical Physician Assistant: Definition to come...
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About NPI 1124473178
Jason Ryan Lomheim, PA-C's National Provider Identifier is 1124473178, issued on Apr 27, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Long Beach, CA. The record was last updated on Sep 13, 2016.