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Organization
JACOB M TSADOK MD INC
Active
Organization
JACOB M TSADOK MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB M TSADOK M.D. (OWNER/CEO)
(310) 966-7920
Entity
Organization
Contact information
Practice address
9808 VENICE BLVD STE 603, CULVER CITY, CA 90232-6819
(310) 966-7920
(310) 652-4053
Mailing address
PO BOX 24971, LOS ANGELES, CA 90024-0971
(310) 277-9010
(310) 652-4053
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A61419
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A61419
STATE LICENSE
CA
Enumeration date
06/03/2014
Last updated
07/21/2022
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