Daria Jacob, RDN is a
Dietitian, Registered based in Hollywood, California. Daria Jacob is licensed to practice in * (Not Available) (license number ) and her current practice location is
1763 N Gower St, Hollywood, California. She can be reached at her office (for appointments etc.) via phone at
(562) 424-4055.
NPI number for Daria Jacob is 1194486746 and her current mailing address is 42 Southgate Dr, Annandale, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194486746.
Healthcare Provider's Profile
| Full Name | Daria Jacob |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 1763 N Gower St, Hollywood, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1194486746
- Provider Enumeration Date: 01/05/2022
- Last Update Date: 05/20/2023
Medical Identifiers
Medical identifiers for Daria Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194486746 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Daria Jacob is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Daria Jacob, RDN
42 Southgate Dr,
Annandale, NJ 08801-3386
Ph: () - | Daria Jacob, RDN
1763 N Gower St,
Hollywood, CA 90028-5423
Ph: (562) 424-4055 |
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