Provider Demographics
NPI:1083819791
Name:MUIR, JASON SEAN (MD, MA)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:SEAN
Last Name:MUIR
Suffix:
Gender:M
Credentials:MD, MA
Other - Prefix:
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Mailing Address - Street 1:1 HOAG DR
Mailing Address - Street 2:SUITE 275
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92663-4162
Mailing Address - Country:US
Mailing Address - Phone:949-764-1454
Mailing Address - Fax:714-896-0071
Practice Address - Street 1:500 SUPERIOR AVE
Practice Address - Street 2:SUITE 305
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663
Practice Address - Country:US
Practice Address - Phone:949-764-1843
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-21
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA908742084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology