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Individual

JACOB GRUNDHAUSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1501 HUGHES WAY STE 150, LONG BEACH, CA 90810-1878
(310) 221-6336
Mailing address
1501 HUGHES WAY STE 150, LONG BEACH, CA 90810-1878
(310) 221-6336

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
171M00000X
Case Manager/Care Coordinator
172V00000X
Community Health Worker
225400000X
Rehabilitation Practitioner
CA
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
12/01/2015
Last updated
08/05/2025
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