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

Jacob Ericksen

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1881531713

Jacob Ericksen is a Student in an Organized Health Care Education/Training Program in Tarzana, California. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

18646 Oxnard St
Tarzana, CA 91356-1486
Phone: (888) 777-8565
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1881531713
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 29, 2026
Last updated in NPPESApril 29, 2026
Certification dateApril 29, 2026
Mailing address2500 Wilshire Blvd Ph 4, Los Angeles, CA 90057-5431

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