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NPI Code Detail

MEDICARE: JASON EDWARD HAUSEN

MEDICARE: JASON EDWARD HAUSEN
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
1175T00000XPeer SpecialistMPSS-UBDKCACA

General Provider Information

NPI Number : 1396177952
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASON EDWARD HAUSEN
Provider Business Mailing Address
First Line : 650 S INDIAN HILL BLVD
Second Line :
City : CLAREMONT
State : CA
Zip : 91711-5444
Country : US
Telephone Number : 909-399-2222
Fax Number :
Provider Business Practice Location Address
First Line : 650 S INDIAN HILL BLVD
Second Line :
City : CLAREMONT
State : CA
Zip : 91711-5444
Country : US
Telephone Number : 909-399-2222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2013
Last Update Date : 03/30/2026

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Directions to “ JASON EDWARD HAUSEN ” Practice Location

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