Individual
REZA JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10820 N TORREY PINES RD, LA JOLLA, CA 92037-1036
(858) 554-8645
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 554-8645
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A118826
CA
Other
Enumeration date
06/24/2009
Last updated
07/21/2022
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