Blanca R Jacobo in Ontario - Orthotic Fitter

Blanca R Jacobo - NPI 1750579520

Blanca R Jacobo is a Orthotic Fitter in Ontario, California. Blanca R Jacobo practices all healthcare services and medical treatments related to Orthotic Fitter. The NPI Number for Blanca R Jacobo is 1750579520. The last update date is 2007-10-05.

Blanca R Jacobo's current location address is 3602 Inland Empire Blvd Ste C130, Ontario, California. You can contact this provider via phone number 9094845700. The mailing address for Blanca R Jacobo is 3602 Inland Empire Blvd Ste C130, Ontario, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Blanca R Jacobo
Address 3602 Inland Empire Blvd Ste C130, Ontario, California
Phone Number 9094845700
Fax Number
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1750579520
Provider Enumeration Date 2007-10-05
Last Updated Date 2007-10-05

Provider Mailing Address Detail

Address 3602 Inland Empire Blvd Ste C130
City Ontario
State California (CA)
Post Code 917644942
Phone Number 9094845700
Fax Number

Provider's Primary Taxonomy Detail

Speciality Orthotic Fitter
Taxonomy 225000000X
Definition:
An individual trained in the management of fitting prefabricated orthoses.

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FAQs about Blanca R Jacobo

What is the unique 10-digit identification code issued to Blanca R Jacobo by the Centers for Medicare & Medicaid Services?

The Blanca R Jacobo has been assigned the NPI (National Provider Identifier) 1750579520 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Blanca R Jacobo is physically located?

The Blanca R Jacobo is physically situated at the following address: 3602 Inland Empire Blvd Ste C130, Ontario, CA, 917644942.

What is Blanca R Jacobo's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Blanca R Jacobo is Orthotic Fitter, and the taxonomy classification code that categorizes this area of expertise is 225000000X.

On what date was the 1750579520 assigned to Blanca R Jacobo?

The Blanca R Jacobo was issued its 1750579520 on 2007-10-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Blanca R Jacobo, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Blanca R Jacobo, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-10-05.

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