Search › California › 174400000X
Jason Boutros, M.D
NPI 1942243563 · on the registry since 2006
Practice
- Address
- 2554 E Washington Blvd
Ste A
Pasadena, CA 91107 - Phone
- (626) 798-8923
- Fax
- (626) 798-0258
- Organisation at this address
- Great Company
Yazdani & Nadir Dds IncInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-02-02
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