Provider Demographics
NPI:1306981519
Name:DIAMOND, JASON BRETT (MD)
Entity type:Individual
Prefix:MR
First Name:JASON
Middle Name:BRETT
Last Name:DIAMOND
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Gender:M
Credentials:MD
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Mailing Address - Street 1:9201 SUNSET BLVD
Mailing Address - Street 2:GROUND FLOOR
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90069
Mailing Address - Country:US
Mailing Address - Phone:310-859-9816
Mailing Address - Fax:320-859-9815
Practice Address - Street 1:9201 SUNSET BLVD
Practice Address - Street 2:GROUND FLOOR
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90069
Practice Address - Country:US
Practice Address - Phone:310-859-9816
Practice Address - Fax:320-859-9815
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAA787002082S0099X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2082S0099XAllopathic & Osteopathic PhysiciansPlastic SurgeryPlastic Surgery Within the Head and Neck