Jason Joshua Codilla
Jason Joshua Codilla is a Technician/Technologist in San Leandro, California. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
2500 Merced StSan Leandro, CA 94577-4201
Phone: (510) 454-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Technician/Technologist (primary) | Taxonomy 156F00000X |
|---|
Record details
| NPI number | 1053172692 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 22, 2024 |
| Last updated in NPPES | January 22, 2024 |
| Certification date | January 20, 2024 |