Individual
ELENA RENE JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6666 GREEN VALLEY CIR, CULVER CITY, CA 90230-7068
(626) 677-3850
Mailing address
6666 GREEN VALLEY CIR, CULVER CITY, CA 90230-7068
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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