Individual
MR. BRIAN JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
3200 MOTOR AVE, LOS ANGELES, CA 90034-3710
(310) 836-1223
Mailing address
3200 MOTOR AVE, LOS ANGELES, CA 90034-3710
(310) 246-0220
(310) 246-0730
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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