Organization
WILLIAM A. JACOBSON, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM ARTHUR JACOBSON M.D. (M.D.)
(760) 241-0080
Entity
Organization
Contact information
Practice address
15203 11TH ST STE D, VICTORVILLE, CA 92395-3737
(760) 241-0080
(760) 241-0091
Mailing address
15203 11TH ST STE D, VICTORVILLE, CA 92395-3737
(760) 241-0088
(760) 241-0091
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A18012
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1982655494
INDIVIDUAL NPI NUMBER
CA
Enumeration date
02/23/2017
Last updated
02/23/2017
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