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

Jack Manson, PA

Individual provider Physician Assistant · NPI 1588010326

Jack Manson, PA is a Physician Assistant in Studio City, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2016
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

11239 Ventura Blvd 213
Studio City, CA 91604-3163
Phone: (760) 936-7189
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 23246 (CA)

Record details

NPI number1588010326
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedMay 11, 2016
Last updated in NPPESMay 11, 2016
Mailing address11239 Ventura Blvd, 213, Studio City, CA 91604-3163

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