JESSE JACOBO NPI 1710550124

NPI Information

NPI: 1710550124
Provider Name: JESSE JACOBO
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
24582 DEL PRADO
SUITE C
DANA POINT, CA
ZIP 92629
Phone: (949) 276-5401
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Jesse Jacobo is a massage therapist in Dana Point, CA. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Jesse Jacobo NPI is 1710550124. 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:

24582 DEL PRADO
SUITE C
DANA POINT, CA
ZIP 92629-125
Phone: (949) 276-5401
Fax: (949) 276-5403

The enumeration date for this NPI number is 7/22/2021 and was last updated on 7/22/2021.

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	225700000X	Massage Therapist		MT44882	CALIFORNIA	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: 11/14/2023

NPI Synchronization or Removal

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