Search › California › 1041C0700X
Garrit Jacobson, CCM
NPI 1891978870 · on the registry since 2007
Practice
- Address
- 15501 San Fernando Mission Blvd
Suite 302
Mission Hills, CA 91345 - Phone
- (818) 781-5511
- Organisation at this address
- Lds Family Services
Agape Healthcare Inc.
Radiance Hospice, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 171M00000X
1041C0700X
1041C0700X - Licence states on file
- UT, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-05-12
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