Individual
DR. BRADLEY ALAN JACOBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
1720 E CESAR E CHAVEZ AVE, LOS ANGELES, CA 90033-2414
(323) 268-5000
Mailing address
1720 E CESAR E CHAVEZ AVE, LOS ANGELES, CA 90033-2414
(323) 268-5000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20A12719
CA
Other
Enumeration date
12/11/2013
Last updated
12/01/2021
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