Dr Richard Samuel Jacobson, M,D, | |
10515 Balboa Bl., Suite 250, Granada Hills, CA 91344 | |
(818) 831-2343 | |
Not Available |
Full Name | Dr Richard Samuel Jacobson |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 10515 Balboa Bl., Granada Hills, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1952443673 | NPI | - | NPPES |
00G155880 | Medicaid | CA | |
G15588 | Other | CA | STATE LICENSE NUM |
Entity Name | County Of Los Angeles |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851363188 PECOS PAC ID: 1850296534 Enrollment ID: O20031204001218 |
Mailing Address | Practice Location Address |
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Dr Richard Samuel Jacobson, M,D, 11591 Yarmouth Ave, Granada Hills, CA 91344-2102 Ph: (818) 366-7700 | Dr Richard Samuel Jacobson, M,D, 10515 Balboa Bl., Suite 250, Granada Hills, CA 91344 Ph: (818) 831-2343 |
Dr. Alex Javier Kopelowicz, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 10605 Balboa Blvd, Granada Hills, CA 91344 Phone: 818-832-2586 Fax: 818-832-2567 | |
Dr. Karina Shulman, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 10605 Balboa Blvd, 100, Granada Hills, CA 91344 Phone: 818-832-2400 Fax: 818-832-2567 | |
Dr. Aneta Lotakov Prince, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 10605 Balboa Blvd, Suite 100, Granada Hills, CA 91344 Phone: 818-832-2400 | |
Dr. Mehera Halliwell, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 10605 Balboa Blvd, Suite 100, Granada Hills, CA 91344 Phone: 818-832-2400 | |
Dr. Katherine Danielle Smith-white, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 10605 Balboa Blvd, Suite 100, Granada Hills, CA 91344 Phone: 818-832-2400 Fax: 818-832-2567 |