| Jacob Korula, M.d. A Professional Medical Corporation | |
|
622 W Duarte Road Suite 302 Arcadia CA 91007-9278 | |
| (626) 447-5339 | |
| Not Available |
| Full Name | Jacob Korula, M.d. A Professional Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 622 W Duarte Road, Arcadia, California |
| Authorized Official Name and Position | Jacob Korula (PRESIDENT) |
| Authorized Official Contact | 6264475339 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Korula, M.d. A Professional Medical Corporation 622 W Duarte Rd Suite 302 Arcadia CA 91007-9278 Ph: (626) 447-5339 | Jacob Korula, M.d. A Professional Medical Corporation 622 W Duarte Road Suite 302 Arcadia CA 91007-9278 Ph: (626) 447-5339 |
| NPI Number | 1821299298 |
|---|---|
| Provider Enumeration Date | 05/31/2007 |
| Last Update Date | 04/19/2009 |
| Medicare PECOS PAC ID | 2062437239 |
|---|---|
| Medicare Enrollment ID | O20051007000404 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821299298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | A39567 (California) | Primary |
| Provider Name | Jacob Korula |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295732568 PECOS PAC ID: 3870518046 Enrollment ID: I20051007000477 |
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