Randy Jacobson, P.T

NPI 1770527939 · on the registry since 2006 · sole proprietor

Practice

Address: 2901 Wilshire Blvd
Suite 319
Santa Monica, CA 90403
Phone: (310) 582-1190
Fax: (310) 582-1165
Organisation at this address: Mystic Health
Kern & Assoc Pt
Joel Gould, D.D.S.
Inner Images, Inc.
Tao Of Medicine Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 46

Registry record

Primary taxonomy: 2251P0200X
2251P0200X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-09-22

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