Steven J. Jacobs, Md, Inc | |
9001 Wilshire Blvd Ste 200 Beverly Hills CA 90211-1840 | |
(310) 271-2328 | |
(310) 271-3793 |
Full Name | Steven J. Jacobs, Md, Inc |
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Speciality | Clinic/Center |
Location | 9001 Wilshire Blvd Ste 200, Beverly Hills, California |
Authorized Official Name and Position | Steven Jeffrey Jacobs (PRESIDENT) |
Authorized Official Contact | 3102712328 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Steven J. Jacobs, Md, Inc 9001 Wilshire Blvd Ste 200 Beverly Hills CA 90211-1840 Ph: (310) 271-2328 | Steven J. Jacobs, Md, Inc 9001 Wilshire Blvd Ste 200 Beverly Hills CA 90211-1840 Ph: (310) 271-2328 |
NPI Number | 1518276922 |
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Provider Enumeration Date | 10/02/2010 |
Last Update Date | 02/18/2015 |
Medicare PECOS PAC ID | 7911167267 |
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Medicare Enrollment ID | O20120326000100 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518276922 | NPI | - | NPPES |
G-457040 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | G45704 (California) | Primary |
Provider Name | Steven J Jacobs |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1750455259 PECOS PAC ID: 9133389380 Enrollment ID: I20120326000197 |
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