Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob A Marhefky III

Individual provider Licensed Vocational Nurse · NPI 1912887126

Jacob A Marhefky III is a Licensed Vocational Nurse in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

12021 Wilmington Ave Bldg 18
Los Angeles, CA 90059-3019
Phone: (424) 454-5400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence 215513 (CA)

Record details

NPI number1912887126
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 8, 2025
Last updated in NPPESSeptember 8, 2025
Certification dateSeptember 7, 2025

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