Mr. Eddie Jacobo
Mr. Eddie Jacobo is a Contractor in Montebello, California. Practices as a sole proprietor. Licensed in Maryland.
- Licensed in
- MD
- In the registry since
- 2015
- Specialties on file
- 3
Practice location Address checks out
2609 W Beverly Blvd Ste 3Montebello, CA 90640-2300
Phone: (909) 342-8951
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Customized Equipment (DME) (primary) | Taxonomy 332BC3200X · Licence C51396 (MD) |
|---|---|
| Contractor | Taxonomy 171W00000X · Licence C51396 (MD) |
| Prosthetics Case Management | Taxonomy 1744P3200X · Licence C51396 (MD) |
Record details
| NPI number | 1700266434 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 8, 2015 |
| Last updated in NPPES | June 8, 2015 |
| Mailing address | 2609 W Beverly Blvd Ste 3, Montebello, CA 90640-2300 |