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NPI Code Detail

MEDICARE: JASHEN MANDER

MEDICARE: JASHEN MANDER
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
1106S00000XBehavior TechnicianCA

General Provider Information

NPI Number : 1063345882
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASHEN MANDER
Provider Business Mailing Address
First Line : 10721 ARDEN VILLA DR
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93311-9369
Country : US
Telephone Number : 661-805-4832
Fax Number :
Provider Business Practice Location Address
First Line : 1720 W BALL RD STE 4A
Second Line :
City : ANAHEIM
State : CA
Zip : 92804-5589
Country : US
Telephone Number : 661-805-4832
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2026
Last Update Date : 06/03/2026

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Directions to “ JASHEN MANDER ” Practice Location

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