Organization
BRUCE A JACOBSON M D A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE A JACOBSON MD (OWNER)
(818) 347-3239
Entity
Organization
Contact information
Practice address
7301 MEDICAL CENTER DRIVE, SUITE 404, WEST HILLS, CA 91307
(818) 347-3239
(818) 348-0444
Mailing address
7301 MEDICAL CENTER DRIVE, SUITE 404, WEST HILLS, CA 91307
(818) 347-3239
(818) 348-0444
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A43500
CA
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A29702
—
CA
Enumeration date
12/01/2006
Last updated
08/31/2020
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