Individual
DR. JEFFREY ROLNALD JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3231 OCEAN PARK BLVD, SUITE 103, SANTA MONICA, CA 90405-3221
(310) 821-4189
Mailing address
3231 OCEAN PARK BLVD, SUITE 103, SANTA MONICA, CA 90405-3221
(310) 821-4189
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY16089
CA
Other
Enumeration date
07/12/2007
Last updated
07/12/2007
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