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Individual

JACOB GOLDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1111 W 6TH ST, SUITE 111, LOS ANGELES, CA 90017-1800
(323) 404-1027
(323) 340-8298
Mailing address
625 FAIR OAKS AVE, SUITE 200, SOUTH PASADENA, CA 91030-2630
(323) 404-1027
(323) 340-8298

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11171
CA

Other

Enumeration date
04/15/2010
Last updated
04/15/2010
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