Individual
JACOBO V MUNOZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3200 MOTOR AVE, LOS ANGELES, CA 90034-3710
(202) 739-1359
Mailing address
335 N ORANGE GROVE AVE, 4, LOS ANGELES, CA 90036-2116
(202) 739-1359
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
11/08/2010
Last updated
10/09/2023
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