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Organization

GARY ALAN JACOB CHIROPRACTIC INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GARY ALAN JACOB DC, LAC, MPH (PRES)
(310) 339-6009
Entity
Organization

Contact information

Practice address
10474 SANTA MONICA BLVD, # 304, LOS ANGELES, CA 90025-6929
(310) 339-6009
(310) 470-7557
Mailing address
10474 SANTA MONICA BLVD, # 304, LOS ANGELES, CA 90025-6929
(310) 339-6009
(310) 470-7557

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
12432
CA

Other

Enumeration date
01/25/2010
Last updated
01/25/2010
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