Individual
DR. GARY P JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14560 MAGNOLIA ST STE 101, WESTMINSTER, CA 92683-4791
(714) 889-7041
Mailing address
3432 GURNARD AVE, SAN PEDRO, SAN PEDRO, CA 90732-4716
(310) 386-4200
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A42016
CA
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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