Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jason K Boutros M D Inc

Organization Internal Medicine Physician · NPI 1053532580

Jason K Boutros M D Inc is an Internal Medicine Physician in Pasadena, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2750 E Washington Blvd Ste 260
Pasadena, CA 91107-1448
Phone: (626) 798-8923
Fax: (626) 798-0258
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A42891 (CA)

Record details

NPI number1053532580
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cindy Chon — Administrator · (626) 798-8923
NPI enumeratedMay 1, 2007
Last updated in NPPESJanuary 28, 2011
Mailing address2750 E Washington Blvd, Suite 260, Pasadena, CA 91107-1448

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