| Doctor Name: | DR. JASON GILES |
| NPI Number: | 1023360542 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | A66509 |
| Business Practice Address: | 166 Siesta Ave Thousand Oaks, CA - 913601816 |
| Business Phone Number: | 3103835581 |
| Business Fax Number: | |
| Mailing Address: | 166 Siesta Ave, THOUSAND OAKS |
| State: | CA |
| Postal Code: | 913601816 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 10/08/2012 |
| NPI Last Update Date: | 10/08/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207LA0401X |
| License Number: | A66509 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Anesthesiology |
| Taxonomy Specialization: | Addiction Medicine |
| Taxonomy Definition: | An anesthesiologist who specializes in the diagnosis and treatment of addictions. |