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Organization
GARY PHILLIP JACOBS, M.D., INC.
Active
Organization
GARY PHILLIP JACOBS, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY PHILLIP JACOBS M.D. (PRESIDENT)
(562) 360-1556
Entity
Organization
Contact information
Practice address
21500 PIONEER BLVD, #210, HAWAIIAN GARDENS, CA 90716-2600
(562) 360-1556
(562) 786-8629
Mailing address
21500 PIONEER BLVD, #210, HAWAIIAN GARDENS, CA 90716-2600
(562) 360-1556
(562) 786-8629
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A42016
CA
208100000X
Physical Medicine & Rehabilitation Physician
A42016
CA
Other
Enumeration date
08/31/2012
Last updated
06/27/2014
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