Jacob Grundhauser, is a
Day Training/habilitation Specialist based in Long Beach, California. Jacob Grundhauser is licensed to practice in * (Not Available) (license number ) and his current practice location is
1501 Hughes Way Ste 150, Long Beach, California. He can be reached at his office (for appointments etc.) via phone at
(310) 221-6336.
NPI number for Jacob Grundhauser is 1992170005 and his current mailing address is 1501 Hughes Way Ste 150, Long Beach, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1992170005.
Healthcare Provider's Profile
| Full Name | Jacob Grundhauser |
|---|
| Gender | Male |
|---|
| Speciality | Day Training/habilitation Specialist |
|---|
| Location | 1501 Hughes Way Ste 150, Long Beach, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1992170005
- Provider Enumeration Date: 12/01/2015
- Last Update Date: 08/05/2025
Medical Identifiers
Medical identifiers for Jacob Grundhauser such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992170005 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | (California) | Secondary |
| 373H00000X | Day Training/habilitation Specialist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacob Grundhauser is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jacob Grundhauser,
1501 Hughes Way Ste 150,
Long Beach, CA 90810-1878
Ph: (310) 221-6336 | Jacob Grundhauser,
1501 Hughes Way Ste 150,
Long Beach, CA 90810-1878
Ph: (310) 221-6336 |
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