Provider Demographics
NPI:1841636156
Name:MASSA, JASON LEE (DO)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:LEE
Last Name:MASSA
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Gender:M
Credentials:DO
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Mailing Address - Street 1:675 YGNACIO VALLEY RD
Mailing Address - Street 2:STE A102
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-3882
Mailing Address - Country:US
Mailing Address - Phone:925-938-5252
Mailing Address - Fax:925-938-1343
Practice Address - Street 1:675 YGNACIO VALLEY RD
Practice Address - Street 2:STE A102
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-3882
Practice Address - Country:US
Practice Address - Phone:925-938-5252
Practice Address - Fax:925-938-1343
Is Sole Proprietor?:No
Enumeration Date:2013-05-14
Last Update Date:2020-10-02
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Provider Licenses
StateLicense IDTaxonomies
CA20A136152084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology