Individual
ALAN KENNETH JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11201 BENTON STREET, RESEARCH SERVICE (151), LOMA LINDA, CA 92354
(909) 583-6050
(909) 796-4508
Mailing address
11696 LARGO CT, LOMA LINDA, CA 92354-3973
(909) 583-6050
(909) 796-4508
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G48891
CA
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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