Provider Demographics
NPI:1295961100
Name:HAMILTON, JASON DANIEL (PA)
Entity type:Individual
Prefix:MR
First Name:JASON
Middle Name:DANIEL
Last Name:HAMILTON
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Gender:M
Credentials:PA
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Mailing Address - Street 1:31588 RAILROAD CANYON RD
Mailing Address - Street 2:
Mailing Address - City:CANYON LAKE
Mailing Address - State:CA
Mailing Address - Zip Code:92587-9468
Mailing Address - Country:US
Mailing Address - Phone:951-821-3252
Mailing Address - Fax:951-471-8026
Practice Address - Street 1:27168 NEWPORT RD STE 1
Practice Address - Street 2:
Practice Address - City:MENIFEE
Practice Address - State:CA
Practice Address - Zip Code:92584-7383
Practice Address - Country:US
Practice Address - Phone:951-246-3033
Practice Address - Fax:951-246-7373
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-05
Last Update Date:2023-10-16
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical