Jason P Custodia, D.O., M.H.A.
NPI #1356497655 in Commerce, California
Provider Information
- NPI Number
- 1356497655
- Entity Type
- Individual
- Name
- Jason P Custodia, D.O., M.H.A.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Credential
- D.O., M.H.A.
- Enumeration Date
- Jan 27, 2007
- Last Updated
- Mar 3, 2017
Practice Location
- Address
- 5426 E OLYMPIC BLVD
- City
- Commerce
- State
- California
- ZIP Code
- 90022-5113
- Phone
- (323) 725-7372
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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