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Contact Information

JASON D BAZILIAN, DAOM, L.AC., MTOM
12540 OAKS NORTH DRIVE
SUITE G
SAN DIEGO, CA92128
 Phone: 858-676-6888
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for JASON D BAZILIAN · (Male)

NPI # 1184871089
Status Active
Credentials DAOM, L.AC., MTOM
Entity Individual
Enumeration date 08/21/2008
Last updated 02/19/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # AC6380
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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