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Search › California › 363A00000X

Jason Justin, PA-C

NPI 1265967079 · on the registry since 2017

Practice

Address
750 Redwood Hwy Frontage Rd Ste 1204
Mill Valley, CA 94941
Phone
(415) 384-4778
Clinicians at this address
24

Additional practice sites

  • 34 Mark West Springs Rd, Santa Rosa, CA
  • 434 S San Vicente Blvd # 100, Los Angeles, CA

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363AS0400X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-09-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California