Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. EDDIE JACOBO
Active Sole ProprietorMR. EDDIE JACOBO is a Customized Equipment (DME) healthcare provider located in MONTEBELLO, California. NPI 1700266434 is currently active in the NPPES registry. Verify at CMS.
Customized Equipment (DME) · MONTEBELLO, CA
Registration Details
- NPI Number
- 1700266434
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 8, 2015 (11.197852642652 yrs)
- Last Updated
- Jun 8, 2015
- Licenses
-
C51396 (MD)C51396 (MD)C51396 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2609 W BEVERLY BLVD STE 3MONTEBELLO, CA, 906402300Browse CA providers · Browse ZIP 90640
- Phone
- 9093428951
- Primary Specialty
-
Customized Equipment (DME)
332BC3200X
- Additional Specialty
- Physical Therapist Assistant
- Additional Specialty
- Customized Equipment (DME)
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.