Individual provider · Type 1 NPI
Jacob Levi Nicolas Verde, AAS
Technician/Technologist · Garden Grove, CA
NPI number
1467306134
Active
Practice location
9825 Garden Grove Blvd
Garden Grove, CA 92844-1616
Mailing address
11490 La Verne Dr
Riverside, CA 92505-2560
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Technician/Technologist Primary | 156F00000X | UNLICENCED (CA) |
Technician/Technologist: A broad category grouping different kinds of technologists and technicians. See individual definitions.
Another provider at this address
About NPI 1467306134
Jacob Levi Nicolas Verde, AAS's National Provider Identifier is 1467306134, issued on Feb 20, 2026. The primary taxonomy on file is Technician/Technologist (156F00000X), and the practice location is in Garden Grove, CA. The record was last updated on Feb 20, 2026.