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Organization
JACOB M. TSADOK M.D. INC
Active
Organization
JACOB M. TSADOK M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB M TSADOK M.D. (OWNER)
(310) 277-9010
Entity
Organization
Contact information
Practice address
2080 CENTURY PARK E, SUITE 1511, LOS ANGELES, CA 90067-2001
(310) 277-9010
(310) 277-3659
Mailing address
PO BOX 24971, LOS ANGELES, CA 90024-0971
(310) 277-9010
(310) 277-3659
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A61419
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A614190
—
CA
Enumeration date
11/07/2007
Last updated
11/07/2007
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