Organization
J. BRUCE JACOBS, MD, INC
Active
Other names
DOWNEY RADIOLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER USMANOV M.D. (PRESIDENT)
(562) 904-1111
Entity
Organization
Contact information
Practice address
11525 BROOKSHIRE AVE, SUITE 111, DOWNEY, CA 90241-4985
(562) 904-1111
(562) 861-6666
Mailing address
11525 BROOKSHIRE AVE, SUITE 111, DOWNEY, CA 90241-4985
(562) 904-1111
(562) 861-6666
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A21604
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215230297
—
CA
Enumeration date
12/13/2010
Last updated
01/28/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us