| Jacobs Psychological Services, Pc | |
|
12304 Santa Monica Blvd # 315 Los Angeles CA 90025-2551 | |
| (818) 571-2285 | |
| (323) 272-4076 |
| Full Name | Jacobs Psychological Services, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 12304 Santa Monica Blvd # 315, Los Angeles, California |
| Authorized Official Name and Position | Joseph D Jacobs (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8185712285 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacobs Psychological Services, Pc 16350 Ventura Blvd # D147 Encino CA 91436-5300 Ph: (818) 571-2285 | Jacobs Psychological Services, Pc 12304 Santa Monica Blvd # 315 Los Angeles CA 90025-2551 Ph: (818) 571-2285 |
| NPI Number | 1730889817 |
|---|---|
| Provider Enumeration Date | 03/07/2023 |
| Last Update Date | 03/26/2023 |
| Certification Date | 03/26/2023 |
| Medicare PECOS PAC ID | 4880053958 |
|---|---|
| Medicare Enrollment ID | O20230707000861 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730889817 | NPI | - | NPPES |
| Provider Name | Joseph Daniel Jacobs |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629461314 PECOS PAC ID: 6608235775 Enrollment ID: I20230707001050 |
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