Individual provider · Type 1 NPI

Jorge Gonzalo Jara, P.A.

Medical Physician Assistant · Camp Pendleton, CA

NPI number 1215314042 Active

Practice location

200 Mercy Circle
Camp Pendleton, CA 92055

Mailing address

PO Box 555191
Camp Pendleton, CA 92055-5191

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Medical Physician Assistant Primary 363AM0700X0110005612 (VA)

Medical Physician Assistant: Definition to come...

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About NPI 1215314042

Jorge Gonzalo Jara, P.A.'s National Provider Identifier is 1215314042, issued on Apr 30, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Camp Pendleton, CA. The record was last updated on Aug 23, 2022.