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Organization

ELLIOTT JACOBSON, M.D., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ELLIOTT JACOBSON M.D. (SOLE OWNER)
(800) 883-7243
Entity
Organization

Contact information

Practice address
12401 WASHINGTON BLVD, WHITTIER, CA 90602-1006
(562) 698-0811
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(800) 883-7243

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G71432
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00C330960
CA
01
1285698951
NPI INDIVIDUAL (SSN)
CA
Enumeration date
07/08/2006
Last updated
08/22/2020
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