MEDICARE: DR. JASON LE DO PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	81179	CA

General Provider Information

NPI Number	:	1144867227
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JASON LE DO PHARMD

Provider Business Mailing Address
First Line	:	22 ODYSSEY STE 135
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92618-3193
Country	:	US
Telephone Number	:	949-387-1133
Fax Number	:	949-387-3310

Provider Business Practice Location Address
First Line	:	22 ODYSSEY STE 135
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92618-3193
Country	:	US
Telephone Number	:	949-387-1133
Fax Number	:	949-387-3310

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2019
Last Update Date	:	02/01/2024

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Directions to “ DR. JASON LE DO PHARMD” Practice Location

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