MEDICARE: JACOBS CHIROPRACTIC, INC

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
1	111N00000X	Chiropractor	33724	CA

General Provider Information

NPI Number	:	1578004503
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JACOBS CHIROPRACTIC, INC

Provider Business Mailing Address
First Line	:	860 S LOS ANGELES ST STE 932
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90014-3331
Country	:	US
Telephone Number	:	310-560-0227
Fax Number	:

Provider Business Practice Location Address
First Line	:	519 W CARSON ST STE 101
Second Line	:
City	:	CARSON
State	:	CA
Zip	:	90745-2617
Country	:	US
Telephone Number	:	310-533-1070
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DAVID M JACOBS
Credential	:	DC
Telephone Number	:	310-560-0227

Provider Enumeration Date	:	03/09/2017
Last Update Date	:	01/29/2026

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