Ilias Jacob
Ilias Jacob is a Rehabilitation Practitioner in San Jose, California. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
438 N White RdSan Jose, CA 95127-1439
Phone: (408) 254-6828
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Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|---|
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
Record details
| NPI number | 1376220475 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 29, 2023 |
| Last updated in NPPES | July 3, 2025 |
| Certification date | July 3, 2025 |
| Mailing address | 1922 The Alameda Ste 316, San Jose, CA 95126-1461 |
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