Michael D Jasso, PA

NPI #1356404305 in Apple Valley, California

Provider Information

NPI Number: 1356404305
Entity Type: Individual
Name: Michael D Jasso, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Dec 19, 2006
Last Updated: Nov 3, 2021

Practice Location

Address: 16008 KAMANA RD
Address 2: STE 100
City: Apple Valley
State: California
ZIP Code: 92307-1376
Phone: (760) 956-5200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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