Individual
JACOB KLICKSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 UCLA MEDICAL PLZ BLDG 200, LOS ANGELES, CA 90095-8346
(310) 794-1195
(504) 387-8979
Mailing address
300 UCLA MEDICAL PLZ # B200, LOS ANGELES, CA 90095-8346
(310) 794-1195
(504) 387-8979
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
20018
CA
208600000X
Surgery Physician
Primary
NONE
MA
Other
Enumeration date
10/31/2023
Last updated
02/06/2026
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