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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LUIS ALEJANDRO JACOBO, MS, ATC

Active Sole Proprietor

LUIS ALEJANDRO JACOBO, MS, ATC is a Athletic Trainer healthcare provider located in STOCKTON, California. NPI 1003645920 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · STOCKTON, CA

Registration Details

NPI Number
1003645920
Provider Type
Individual
Gender
Male
NPI Issued
Jul 30, 2024 (2.0239096594115 yrs)
Last Updated
Jul 30, 2024
License
2000053928 (CA)
Sole Proprietor
Yes

Practice Information

Address
6385 PACIFIC AVE
STOCKTON, CA, 952073713
Browse CA providers · Browse ZIP 95207
Phone
2094779300
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in STOCKTON, CA

Name Credential NPI
MR. CHRISTOPHER JOHN POND MS, ATC 1245275080
DR. SHARON A WEST-SELL PHD, ATC 1215964036
MS. JOLENE ELIZABETH BAKER MA, ATC 1760410054
TODD P BROWN ATC 1861602880
MR. KEVIN ANDERSON MA, ATC 1508194366
MRS. JAMIE MARIE DEROLLO MBA, ATC 1558764274
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.