Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON SHUPE, D.O.
ActiveJASON SHUPE, D.O. is a Electrodiagnostic Medicine healthcare provider located in SAN DIMAS, California. NPI 1679914469 is currently active in the NPPES registry. Verify at CMS.
Electrodiagnostic Medicine · SAN DIMAS, CA
Registration Details
- NPI Number
- 1679914469
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 10, 2013 (13.097286983018 yrs)
- Last Updated
- Dec 1, 2021
- Licenses
-
20A13620 (CA)20A13620 (CA)
Practice Information
- Address
-
554 E FOOTHILL BLVD STE 120SAN DIMAS, CA, 917731222Browse CA providers · Browse ZIP 91773
- Phone
- 9092483437
- Fax
- 8443806565
- Primary Specialty
-
Electrodiagnostic Medicine
204D00000X
- Additional Specialty
- Electrodiagnostic Medicine
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.