IndividualActive
Jason Litak, MD
NPI 1750575247 · MOHS-Micrographic Surgery Physician · Santa Monica, CA
Provider details
- NPI number
- 1750575247
- Entity type
- Individual
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- A118111 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2001 Santa Monica Blvd
Suite 990-W
Santa Monica, CA 90404-2102
Phone: (310) 829-4484
Fax: (310) 829-4481
Approximate (ZIP-level) locationGet directions
Mailing address
2001 Santa Monica Blvd
Santa Monica, CA 90404-2102
Registry dates
- Enumerated
- 2007-08-28
- Last updated
- 2025-05-22
- Certified
- 2025-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.