Individual provider · Type 1 NPI

Jake Watson Jr., PHYSICIAN ASSISTANT

Medical Physician Assistant · Los Angeles, CA

NPI number 1861433393 Active

Practice location

11301 Wilshire Blvd
Los Angeles, CA 90073-1003

Call (310) 478-3711 Map

Mailing address

3731 S Norton Ave
Los Angeles, CA 90018-4046

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X14184 (CA)

Medical Physician Assistant: Definition to come...

1,116 other providers at this address

Other medical physician assistant providers in Los Angeles

See all in Los Angeles →

About NPI 1861433393

Jake Watson Jr., PHYSICIAN ASSISTANT's National Provider Identifier is 1861433393, issued on Jun 8, 2006. 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 Jul 13, 2026.