Healthcare Provider Details

I. General information

NPI: 1194944603
Provider Name (Legal Business Name): JASON ARON LITNER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2007
Last Update Date: 10/04/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9201 W SUNSET BLVD SUITE M130
WEST HOLLYWOOD CA
90069-3701
US

IV. Provider business mailing address

9201 W SUNSET BLVD SUITE M130
WEST HOLLYWOOD CA
90069-3701
US

V. Phone/Fax

Practice location:
  • Phone: 416-627-5543
  • Fax:
Mailing address:
  • Phone: 310-276-6800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YS0123X
TaxonomyFacial Plastic Surgery Physician
License NumberA98512
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: