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Organization
EDWIN JACOBSON M.D. INC
Active
Organization
EDWIN JACOBSON M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWIN JACOBSON M.D (PRESIDENT)
(310) 209-5655
Entity
Organization
Contact information
Practice address
100 UCLA MED PLZ #690, LOS ANGELES, CA 90095-0001
(310) 209-5655
(310) 824-0298
Mailing address
100 UCLA MED PLZ #690, LOS ANGELES, CA 90095-0001
(310) 209-5655
(310) 824-0298
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/11/2007
Last updated
10/11/2007
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