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

Jacob Singhavong

Individual provider Clinical Social Worker · NPI 1073358289

Jacob Singhavong is a Clinical Social Worker in San Dimas, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

540 E Foothill Blvd Ste 101
San Dimas, CA 91773-1251
Phone: (626) 779-8583
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1073358289
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 28, 2024
Last updated in NPPESJune 28, 2024
Certification dateJune 28, 2024
Mailing address12142 Central Ave # 177, Chino, CA 91710-2420

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