Individual
JACOB FLEISCHMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4841 HOLLYWOOD BLVD, KAISER PERMANENTE, LOS ANGELES, CA 90027-5301
(323) 783-6454
Mailing address
131 N MARTEL AVE, LOS ANGELES, CA 90074-0001
(323) 931-2555
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
G40660
CA
208M00000X
Hospitalist Physician
G40660
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G40660
—
CA
01
—
11880972
CAQH
CA
01
—
G40660
CA MEDICAL LICENSE
CA
Enumeration date
07/21/2006
Last updated
05/12/2009
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