Individual
DR. JACOB DANIEL HATTENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2021 SANTA MONICA BLVD STE 200E, SANTA MONICA, CA 90404-2136
(323) 709-3657
(310) 496-7277
Mailing address
12021 WILSHIRE BLVD # 144, LOS ANGELES, CA 90025-1206
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
318847-A
NY
208100000X
Physical Medicine & Rehabilitation Physician
Primary
20A22622
CA
208100000X
Physical Medicine & Rehabilitation Physician
318847
NY
208100000X
Physical Medicine & Rehabilitation Physician
5101027170
MI
Other
Enumeration date
03/23/2019
Last updated
09/22/2025
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