Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON JOSHUA CODILLA
Active Sole ProprietorJASON JOSHUA CODILLA is a Optician healthcare provider located in SAN LEANDRO, California. NPI 1053172692 is currently active in the NPPES registry. Verify at CMS.
Optician · SAN LEANDRO, CA
Registration Details
- NPI Number
- 1053172692
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 22, 2024 (2.586985332984 yrs)
- Last Updated
- Jan 22, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
2500 MERCED STSAN LEANDRO, CA, 945774201Browse CA providers · Browse ZIP 94577
- Phone
- 5104541000
- Primary Specialty
-
Optician
156F00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.