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NPI Code Detail

MEDICARE: JASON FALK

MEDICARE: JASON FALK
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
1101YA0400XAddiction (Substance Use Disorder) CounselorR1219841215CA

General Provider Information

NPI Number : 1558736629
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASON FALK
Provider Business Mailing Address
First Line : 531 KNOTTS ST
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93305-3043
Country : US
Telephone Number : 661-325-8510
Fax Number :
Provider Business Practice Location Address
First Line : 531 KNOTTS ST
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93305-3043
Country : US
Telephone Number : 661-325-8510
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2015
Last Update Date : 01/11/2016

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Directions to “ JASON FALK ” Practice Location

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