IndividualActive
Jacob Stibelman
NPI 1134879885 · Foot Surgery Podiatrist · Beverly Hills, CA
Provider details
- NPI number
- 1134879885
- Entity type
- Individual
- Primary specialty
- Foot Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Sex
- Male
- Sole proprietor
- No
Practice location
200 N Robertson Blvd Ste 202
Beverly Hills, CA 90211-6002
Phone: (310) 385-6017
Mailing address
4140 W 190th St
Torrance, CA 90504-5513
Registry dates
- Enumerated
- 2022-03-25
- Last updated
- 2025-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.