Search › California › 1223G0001X
Jacob Wassily
NPI 1497660765 · on the registry since 2026
Practice
- Address
- 2219 Belmont Ln
Redondo Beach, CA 90278 - Phone
- (310) 347-6976
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-08-18
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