Individual provider · Type 1 NPI

Jill Jude Deharo, PA-C

Physician Assistant · Los Angeles, CA

NPI number 1912190638 Active

Practice location

4760 W Sunset Blvd
Los Angeles, CA 90027-6063

Call (310) 729-2465 Map

Other practice locations

  • 3612 1/2 E 1st St, Los Angeles, CA 90063-2326 · (323) 264-7796

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X21360 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1912190638

Jill Jude Deharo, PA-C's National Provider Identifier is 1912190638, issued on Aug 27, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 25, 2022.