Individual provider · Type 1 NPI

Jason K. Boutros, MD

Specialist · Pasadena, CA

NPI number 1942243563 Active

Practice location

2554 E Washington Blvd, Ste A
Pasadena, CA 91107-1445

Fax (626) 798-0258

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XA42891 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1942243563

Jason K. Boutros, MD's National Provider Identifier is 1942243563, issued on Jun 13, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Pasadena, CA. The record was last updated on Feb 2, 2017.