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Organization

SHAHRAM JACOBS M.D., INC

Active
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Organization

SHAHRAM JACOBS M.D., INC

Active
Other names
SHAHRAM POURRABBANI M.D., INC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHAHRAM JACOBS MD (PRESIDENT/ SECRETARY/ TREASURER)
(818) 981-1555
Entity
Organization

Contact information

Practice address
16133 VENTURA BLVD, #340 / 370, ENCINO, CA 91436-2403
(818) 981-1555
(818) 981-1510
Mailing address
16133 VENTURA BLVD, #340 / 370, ENCINO, CA 91436-2403
(818) 981-1555
(818) 981-1510

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A89999
CA

Other

Enumeration date
08/05/2007
Last updated
11/05/2008
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