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

Jacob Milton Murdock IV

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124555461

Jacob Milton Murdock IV is a Student in an Organized Health Care Education/Training Program in Lakeside, California. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

12064 Woodside Ave Ste 105 San Diego Center For Neurofeedback
Lakeside, CA 92040
Phone: (619) 436-4263
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 number1124555461
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 17, 2017
Last updated in NPPESMay 17, 2017
Mailing address1106 2nd St, Ste 308, Encinitas, CA 92024

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