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Sebastian Jacob

NPI 1073330809 · on the registry since 2024

Practice

Address
18630 Burbank Blvd Apt 109
Tarzana, CA 91356
Phone
(747) 922-1805
Clinicians at this address
2

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-09-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California