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Individual

JACOB GISIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
16055 VENTURA BLVD STE 715, ENCINO, CA 91436-2610
(323) 807-6381
Mailing address
16055 VENTURA BLVD STE 715, ENCINO, CA 91436-2610
(323) 807-6381

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY30023
CA

Other

Enumeration date
09/03/2008
Last updated
02/03/2026
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