Provider Demographics
NPI:1003679606
Name:JACOBI, ALBRIK PATRICK
Entity Type:Individual
Prefix:
First Name:ALBRIK
Middle Name:PATRICK
Last Name:JACOBI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26651 VIA LA JOLLA
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN CAPISTRANO
Mailing Address - State:CA
Mailing Address - Zip Code:92675-5197
Mailing Address - Country:US
Mailing Address - Phone:714-981-1006
Mailing Address - Fax:
Practice Address - Street 1:26651 VIA LA JOLLA
Practice Address - Street 2:
Practice Address - City:SAN JUAN CAPISTRANO
Practice Address - State:CA
Practice Address - Zip Code:92675-5197
Practice Address - Country:US
Practice Address - Phone:714-981-1006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide