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Organization
WALTER E. JACOBSON, MD, INC.
Active
Organization
WALTER E. JACOBSON, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER ERIC JACOBSON MD (PRESIDENT)
(818) 885-8599
Entity
Organization
Contact information
Practice address
18300 ROSCOE BLVD, IFL TOWER, 4TH FLOOR, NORTHRIDGE, CA 91325-4105
(818) 885-8500
(818) 865-2124
Mailing address
5699 KANAN RD, #433, AGOURA HILLS, CA 91301-3358
(818) 885-8500
(818) 865-2124
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A61016
CA
Other
Enumeration date
08/22/2006
Last updated
08/22/2020
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