Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jonathan Howard Bazaes

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1639616394

Mr. Jonathan Howard Bazaes is a Student in an Organized Health Care Education/Training Program in Mission Hills, California. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2
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Practice location Address checks out

10200 Sepulveda Blvd Ste 170
Mission Hills, CA 91345-3322
Phone: (818) 895-9707
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1639616394
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 19, 2017
Last updated in NPPESFebruary 2, 2024
Certification dateJanuary 25, 2024
Mailing address10200 Sepulveda Blvd Ste 170, Mission Hills, CA 91345-3322

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