Individual
DIANNE JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3455 SEPULVEDA BLVD, TORRANCE, CA 90505-2606
(310) 542-1639
Mailing address
19021 HAMDEN LN, HUNTINGTON BEACH, CA 92646-2133
(714) 504-3326
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
39934
CA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
39934
CA
Other
Enumeration date
12/18/2012
Last updated
05/23/2026
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