Organization · Type 2 NPI

Jason Shupe, D.o., An Osteopathic Corporation

Medical Specialty Clinic/Center · San Dimas, CA

NPI number 1992366223 Active

Practice location

554 E Foothill Blvd Ste 120
San Dimas, CA 91773-1222

Fax (844) 380-6565

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XNone listed

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Another provider at this address

About NPI 1992366223

Jason Shupe, D.o., An Osteopathic Corporation's National Provider Identifier is 1992366223, issued on Jun 26, 2019. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in San Dimas, CA. The record was last updated on Jun 26, 2019.