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

Mr. Jack Robert Spreen, PA

Individual provider Physician Assistant · NPI 1952031130

Mr. Jack Robert Spreen, PA is a Physician Assistant in West Hollywood, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2022
Specialties on file
2
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

8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone: (310) 423-8780
Fax: (310) 423-0424
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8432 Magnolia Ave, Riverside, CA 92504-3297 — (877) 228-3615

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA61755 (CA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1952031130
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedJune 12, 2022
Last updated in NPPESJanuary 24, 2023
Certification dateJanuary 24, 2023

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