Individual
ALAN D JACOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-5761
Mailing address
970 1/2 TOURMALINE ST, SAN DIEGO, CA 92109-1791
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
20A8701
CA
2084P0800X
Psychiatry Physician
Primary
20A8701
CA
Other
Enumeration date
02/02/2006
Last updated
03/11/2009
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