Dr JASON KENNETH AGUSTIN is a male medical professional, specializing in Physician Assistant. He graduated in 2008.
ADVANCED LUNG CENTER MEDICAL GROUP INC.
401 S LA BREA AVE
INGLEWOOD
CA
903012321
Tel: 3102757575
| Npi | 1861637274 |
| Pac Id | 0143358705 |
| Professional Enrollment Id | I20100503000534 |
| Last Name | AGUSTIN |
| First Name | JASON |
| Middle Name | KENNETH |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2008 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | ADVANCED LUNG CENTER MEDICAL GROUP INC. |
| Group Practice Pac Id | 4082508197 |
| Number Of Group Practice Members | 3 |
| Line 1 Street Address | 401 S LA BREA AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | INGLEWOOD |
| State | CA |
| Zip Code | 903012321 |
| Phone Number | 3102757575 |
| Hospital Affiliation Ccn 1 | 050135 |
| Hospital Affiliation Lbn 1 | SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD |
| Hospital Affiliation Ccn 2 | 050561 |
| Hospital Affiliation Lbn 2 | KAISER FOUNDATION HOSPITAL - WEST LA |
| Hospital Affiliation Ccn 3 | 050739 |
| Hospital Affiliation Lbn 3 | CENTINELA HOSPITAL MEDICAL CENTER |
| Hospital Affiliation Ccn 4 | 050112 |
| Hospital Affiliation Lbn 4 | SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL |
| Hospital Affiliation Ccn 5 | 050625 |
| Hospital Affiliation Lbn 5 | CEDARS-SINAI MEDICAL CENTER |
| Professional Accepts Medicare Assignment | Y |
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