MR. EDDIE JACOBO NPI 1700266434

NPI Information

NPI: 1700266434
Provider Name: MR. EDDIE JACOBO
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Individual

Specialization: Customized Equipment

Address:
2609 W BEVERLY BLVD STE 3
MONTEBELLO, CA
ZIP 90640
Phone: (909) 342-8951
Get Directions

MR. Eddie Jacobo is a customized equipment durable medical equipment medical supplies in Montebello, CA. MR. Eddie Jacobo NPI is 1700266434. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2609 W BEVERLY BLVD STE 3
MONTEBELLO, CA
ZIP 90640-300
Phone: (909) 342-8951

The enumeration date for this NPI number is 6/8/2015 and was last updated on 6/8/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171W00000X	Contractor		C51396	MARYLAND	No
2	1744P3200X	Specialist	Prosthetics Case Management	C51396	MARYLAND	No
3	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	C51396	MARYLAND	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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