Organization
JACOME MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ENRIQUE G JACOME MD (PRESIDENT)
(760) 773-2616
Entity
Organization
Contact information
Practice address
72780 COUNTRY CLUB DR, SUITE D403, RANCHO MIRAGE, CA 92270-4126
(760) 773-2616
(760) 773-5797
Mailing address
72780 COUNTRY CLUB DR, SUITE D403, RANCHO MIRAGE, CA 92270-4126
(760) 773-2616
(760) 773-5797
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A44682
CA
Other
Enumeration date
08/10/2011
Last updated
08/10/2011
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