Individual provider · Type 1 NPI
Eddie Jacobo
Customized Equipment (DME) · Montebello, CA
NPI number
1700266434
Active
Practice location
2609 W Beverly Blvd Ste 3
Montebello, CA 90640-2300
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Contractor | 171W00000X | C51396 (MD) |
| Prosthetics Case Management | 1744P3200X | C51396 (MD) |
| Customized Equipment (DME) Primary | 332BC3200X | C51396 (MD) |
Customized Equipment (DME): Definition to come...
Another provider at this address
About NPI 1700266434
Eddie Jacobo's National Provider Identifier is 1700266434, issued on Jun 8, 2015. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Montebello, CA. The record was last updated on Jun 8, 2015.