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NPI Code Detail

MEDICARE: JARED SANCHEZ

MEDICARE: JARED SANCHEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1366132573
Entity Type Code : Individual
Provider Name (Legal Business Name) : JARED SANCHEZ
Provider Business Mailing Address
First Line : 620 MADRID AVE
Second Line :
City : TORRANCE
State : CA
Zip : 90501-2027
Country : US
Telephone Number : 310-483-6173
Fax Number :
Provider Business Practice Location Address
First Line : 3186 AIRWAY AVE STE A
Second Line :
City : COSTA MESA
State : CA
Zip : 92626-4650
Country : US
Telephone Number : 714-881-0427
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2023
Last Update Date : 05/10/2023

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