# JACOB E TAUBER MD A PROFESSIONAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366617177
- **Authorized official:** DR. JACOB E TAUBER M.D. (PHYSICIAN SURGEON)
- **Authorized official phone:** (310) 273-1003

## Contact information

- **Practice address:** 1505 WILSON TER, SUITE 310, GLENDALE, CA 91206-4071
- **Practice address phone:** (818) 502-1130
- **Practice address fax:** (818) 502-9031
- **Mailing address:** 9033 WILSHIRE BLVD, SUITE 401, BEVERLY HILLS, CA 90211-1837
- **Mailing address phone:** (310) 273-1003
- **Mailing address fax:** (310) 273-2551

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | G41526 | CA | Yes |

## Other

- **Enumeration date:** 04/23/2008
- **Last updated:** 03/20/2014
