Individual
KAREN JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
955 CARRILLO DR STE 108, LOS ANGELES, CA 90048-5400
(323) 651-4454
Mailing address
3201 CARDIFF AVE, LOS ANGELES, CA 90034-2811
(917) 449-3478
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-16502
CA
Other
Enumeration date
11/06/2014
Last updated
08/15/2023
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