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Search › California › 2279P3900X

Jason Poulis

NPI 1639020894 · on the registry since 2026 · sole proprietor

Practice

Address
2051 Marengo St
Los Angeles, CA 90033
Phone
(323) 409-7928
Organisation at this address
County Of Los Angeles
County Of Los Angeles
County Of Los Angeles
County Of Los Angeles
County Of Los Angeles
Inferred from a shared address, not stated in the registry.
Clinicians at this address
493

Registry record

Primary taxonomy
2279P3900X
2279P3900X
Sex
Male
Record last updated
2026-02-04

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