Individual
MRS. AMY ANN JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
100 MEDICAL PLAZA, SUITE 630, LOS ANGELES, CA 90095-0001
(310) 825-9011
(310) 825-9012
Mailing address
200 UCLA MEDICAL PLZ STE 120, LOS ANGELES, CA 90095-8344
(310) 794-0242
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
17594
CA
Other
Enumeration date
02/25/2008
Last updated
11/12/2025
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