Revilla, Jacob

Revilla, Jacob is an sole proprietor health care provider with primary practice located at 245 Bieber Dr , San Jose CA 95123-3613. He recently has only one registered license in Emergency Medical Service Providers / Emergency Medical Technician, Basic, which is considered as his primary health care specialty. Revilla, Jacob can be contacted via phone (408) 440-6480.

Contact Information

Primary practice address
245 Bieber Dr San Jose CA 95123-3613
Phone: (408) 440-6480
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Emergency Medical Technician, Basic 146N00000X E170956 California

Profile Details

NPI number 1255252375
LBN Legal business name Revilla, Jacob
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 23rd, 2026
Last updated Jul 23rd, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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