Individual provider · Type 1 NPI
Jason Kenneth Agustin, PA-C
Medical Physician Assistant · San Gabriel, CA
NPI number
1861637274
Active
Practice location
136 Bridge St
San Gabriel, CA 91775-2720
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA20040 (CA) |
Medical Physician Assistant: Definition to come...
Other medical physician assistant providers in San Gabriel
About NPI 1861637274
Jason Kenneth Agustin, PA-C's National Provider Identifier is 1861637274, issued on Dec 15, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in San Gabriel, CA. The record was last updated on May 5, 2023.