Individual
JAKUB WOLOSZYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11175 CAMPUS ST, LOMA LINDA, CA 92350-1700
(909) 558-3650
Mailing address
25865 BARTON RD STE 101, LOMA LINDA, CA 92354-3896
(214) 729-7191
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
77814
GA
208600000X
Surgery Physician
Primary
A124914
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/27/2011
Last updated
07/24/2019
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