Basic Information
Provider Information
NPI: 1194944603
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LITNER
FirstName: JASON
MiddleName: ARON
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 9201 W SUNSET BLVD
Address2: SUITE M130
City: WEST HOLLYWOOD
State: CA
PostalCode: 900693701
CountryCode: US
TelephoneNumber: 3102766800
FaxNumber:  
Practice Location
Address1: 9201 W SUNSET BLVD
Address2: SUITE M130
City: WEST HOLLYWOOD
State: CA
PostalCode: 900693701
CountryCode: US
TelephoneNumber: 4166275543
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/24/2007
LastUpdateDate: 10/04/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207YS0123XA98512CAY Allopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery

No ID Information.


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