Jacquelyn Marie Derian Boebel, OTR/L - Occupational Therapist in Santa Monica, CA

Jacquelyn Marie Derian Boebel, OTR/L is a Occupational Therapist - Pediatrics based in Santa Monica, California. Jacquelyn Marie Derian Boebel is licensed to practice in California (license number OT12947) and her current practice location is 2331 20th St Apt 3, Santa Monica, California. She can be reached at her office (for appointments etc.) via phone at (858) 722-3627.

NPI number for Jacquelyn Marie Derian Boebel is 1003307364 and her current mailing address is 2331 20th St Apt 3, Santa Monica, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003307364.

Contact Information

Jacquelyn Marie Derian Boebel, OTR/L
2331 20th St Apt 3,
Santa Monica, CA 90405-2737
(858) 722-3627
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJacquelyn Marie Derian Boebel
GenderFemale
SpecialityOccupational Therapist - Pediatrics
Location2331 20th St Apt 3, Santa Monica, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003307364
  • Provider Enumeration Date: 05/22/2018
  • Last Update Date: 02/13/2021

Medical Identifiers

Medical identifiers for Jacquelyn Marie Derian Boebel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003307364NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225XP0200XOccupational Therapist - Pediatrics OT12947 (California)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. Jacquelyn Marie Derian Boebel 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 AddressPractice Location Address
Jacquelyn Marie Derian Boebel, OTR/L
2331 20th St Apt 3,
Santa Monica, CA 90405-2737

Ph: (858) 722-3627
Jacquelyn Marie Derian Boebel, OTR/L
2331 20th St Apt 3,
Santa Monica, CA 90405-2737

Ph: (858) 722-3627

Reviews and Comments


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