Individual
IRVING JACOBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9300 CAMPUS POINT DRIVE, LA JOLLA, CA 92037
(858) 657-7000
Mailing address
FILE NO 54826, LOS ANGELES, CA 90074-4826
(888) 486-4380
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G53173
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OOG531730
—
CA
Enumeration date
06/17/2006
Last updated
02/01/2008
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