Individual
JACOB POURAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2010 ZONAL AVE STE 1P-2, LOS ANGELES, CA 90033-1026
(323) 409-4942
Mailing address
LACUSC, 2010 ZONAL AVE. SUITE 1P-2, LOS ANGELES, CA 90033
(323) 409-4942
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A156868
CA
2084P0800X
Psychiatry Physician
Primary
A156868
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2017
Last updated
07/13/2023
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