Search › California › 106H00000X
Jacob Rose
NPI 1972207553 · on the registry since 2023 · sole proprietor
Practice
- Address
- 12665 Village Ln Apt 3519
Los Angeles, CA 90094 - Phone
- (415) 686-2327
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-03-28
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