Individual
JACOB YOCHANAN STIBELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 N ROBERTSON BLVD STE 202, BEVERLY HILLS, CA 90211-6002
(310) 385-6017
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
E6121
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2022
Last updated
06/26/2025
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