Immortelle Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

IMMORTELLE INC

Doing business as

Immortelle Med

Practice address

300 S Doheny Dr Ste 510
Los Angeles, CA 90048-3704

Phone

(424) 355-9023

Fax

(424) 389-7037

NPI assigned

Dec 14, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jessica JacobsonNPI 1720678501

Title

Owner/President

Phone

(424) 355-9023

Specialties & licenses 1

Addresses

Other names 1

• Immortelle Med Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica Elaine Jacobson, NP

  • Nurse Practitioner
  • Los Angeles, CA
  • NPI 1720678501
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776470400000",
    "number": "1922767250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S SAN VICENTE BLVD STE 264",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484884",
            "telephone_number": "424-271-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S DOHENY DR STE 510",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483704",
            "telephone_number": "424-355-9023",
            "fax_number": "424-389-7037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMORTELLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-14",
        "last_updated": "2026-04-18",
        "certification_date": "2026-04-18",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "424-355-9023"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Immortelle Med",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Imma Lactation, LLC
• Immaculate Care Center Inc
• Immanuel Medical Center Inc
• Immediate Medical Care
• Immigrants Charitable Foundation Dba la Community Alliance (LA Community Alliance (LACA))
• Immunosciences Lab., Inc.
• Olore Imoohi
• Imp Health Services, Inc
• Impact Counseling Group
• Impact Counseling Group Incorporated

• Home Health Agency in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.