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NPI Code Detail

MEDICARE: JILL COBO

MEDICARE: JILL COBO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-11-9330CA

General Provider Information

NPI Number : 1568706273
Entity Type Code : Individual
Provider Name (Legal Business Name) : JILL COBO
Provider Business Mailing Address
First Line : 16782 VON KARMAN AVE STE 11
Second Line :
City : IRVINE
State : CA
Zip : 92606-2417
Country : US
Telephone Number : 855-223-7123
Fax Number : 619-374-7134
Provider Business Practice Location Address
First Line : 17462 COLIMA RD
Second Line :
City : ROWLAND HEIGHTS
State : CA
Zip : 91748-1633
Country : US
Telephone Number : 855-223-7123
Fax Number : 619-374-7134
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2012
Last Update Date : 07/16/2021

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Directions to “ JILL COBO ” Practice Location

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