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

Mr. Jake Watson Jr., PHYSICIAN, ASSISTANT

Individual provider Medical Physician Assistant · NPI 1861433393

Mr. Jake Watson Jr., PHYSICIAN, ASSISTANT is a Medical Physician Assistant in Los Angeles, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

11301 Wilshire Blvd
Los Angeles, CA 90073-1003
Phone: (310) 478-3711
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 14184 (CA)

Record details

NPI number1861433393
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIAN , ASSISTANT
Sole proprietorNo
NPI enumeratedJune 8, 2006
Last updated in NPPESJuly 13, 2026

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