Gary Phillip Jacobs, M.d., Inc. | |
21500 Pioneer Blvd #210 Hawaiian Gardens CA 90716-2600 | |
(562) 360-1556 | |
(562) 786-8629 |
Full Name | Gary Phillip Jacobs, M.d., Inc. |
---|---|
Speciality | Internal Medicine |
Location | 21500 Pioneer Blvd, Hawaiian Gardens, California |
Authorized Official Name and Position | Gary Phillip Jacobs (PRESIDENT) |
Authorized Official Contact | 5623601556 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gary Phillip Jacobs, M.d., Inc. 21500 Pioneer Blvd #210 Hawaiian Gardens CA 90716-2600 Ph: (562) 360-1556 | Gary Phillip Jacobs, M.d., Inc. 21500 Pioneer Blvd #210 Hawaiian Gardens CA 90716-2600 Ph: (562) 360-1556 |
NPI Number | 1790034023 |
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Provider Enumeration Date | 08/31/2012 |
Last Update Date | 06/27/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790034023 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A42016 (California) | Primary |
208100000X | Physical Medicine & Rehabilitation | A42016 (California) | Secondary |
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