Organization
LAURENCE L. JACOBS, M.D., A.P.C.
Active
Organization
LAURENCE L. JACOBS, M.D., A.P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURENCE LIBERTY JACOBS MD (OWNER)
(949) 642-6320
Entity
Organization
Contact information
Practice address
320 SUPERIOR AVE, SUITE 310, NEWPORT BEACH, CA 92663-2716
(949) 642-6320
Mailing address
320 SUPERIOR AVE, SUITE 310, NEWPORT BEACH, CA 92663-2716
(949) 642-6320
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A131180
—
CA
Enumeration date
05/14/2007
Last updated
04/04/2013
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