Organization
JACOB HATTENBACH DO INC
Active
Organization
JACOB HATTENBACH DO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB HATTENBACH DO (MEDICAL DIRECTOR)
(323) 709-3657
Entity
Organization
Contact information
Practice address
2021 SANTA MONICA BLVD STE 200E, SANTA MONICA, CA 90404-2136
(323) 709-3657
Mailing address
12021 WILSHIRE BLVD # 144, LOS ANGELES, CA 90025-1206
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
06/13/2025
Last updated
09/17/2025
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