Individual
FREDERICK CHESTER JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1741 W ROMNEYA DR, STE B, ANAHEIM, CA 92801-1805
(714) 332-5000
(714) 833-5007
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(714) 347-1000
(714) 647-1245
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G65534
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RR PTAN
050014975
CA
Enumeration date
06/21/2006
Last updated
03/27/2017
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