Individual provider · Type 1 NPI
Jason M. Hataye, MD
Student in an Organized Health Care Education/Training Program · Hercules, CA
NPI number
1962654517
Active
Practice location
572 Turquoise Drive
Hercules, CA 94547
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1962654517
Jason M. Hataye, MD's National Provider Identifier is 1962654517, issued on Oct 15, 2008. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hercules, CA. The record was last updated on Oct 15, 2008.