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JACOB ISAIAH BODDEN MD
NPI 1093402307
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since April 18, 2023
1720 E CESAR E CHAVEZ AVE, LOS ANGELES, CA 90033(800) 465-3203 Get Directions Write a Review

NPPES record last updated: April 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacob Isaiah Bodden Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB ISAIAH BODDEN MD (NPI 1093402307) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1093402307
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB ISAIAH BODDENCredential: MD
Location Address1720 E CESAR E CHAVEZ AVELos Angeles, CA 90033-2414
Mailing Address1720 E Cesar E Chavez AveLos Angeles, CA 90033-2414
Phone(800) 465-3203
Sole ProprietorNo
Enumeration DateApril 18, 2023
NPPES CertifiedApril 18, 2023
✔ NPI 1093402307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1720 E CESAR E CHAVEZ AVE, Los Angeles, CA 90033
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NAYELI BUENROSTRO DPM
Student in an Organized Health Care Education/Training Program
1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033
Los Angeles County (323) 268-5000
PARDIS A SAFFARI DO
Internal Medicine
1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033
Los Angeles County (323) 260-5781
AH YEON CHANG RN
Registered Nurse (Case Management)
1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033
Los Angeles County (323) 268-5000
JOSIF BOROVIC, MD, INC
Pain Medicine (Interventional Pain Medicine)
1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033
Los Angeles County (562) 407-2080
CONNIE CHUNG MD
Student in an Organized Health Care Education/Training Program
1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033
Los Angeles County (323) 260-5781
DAVINA RENE HSU D.O.
Family Medicine
1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033
Los Angeles County (323) 268-5000
STELLA MARIE GOMORY PA-C
Physician Assistant
1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033
Los Angeles County (323) 268-5000
MARYAM FAKHRAI
Obstetrics & Gynecology
1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033
Los Angeles County (949) 510-4227

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Bodden's NPI number?

The NPI number for Jacob Bodden is 1093402307. It was assigned to this individual provider in the NPPES registry on April 18, 2023.

Where is Jacob Bodden located?

Jacob Bodden practices at 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033. The listed phone number is (800) 465-3203.

What is Jacob Bodden's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jacob Bodden was last updated on April 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.