Individual
ALAN JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
82227 US HIGHWAY 111, STE B2, INDIO, CA 92201-5667
(760) 347-6636
(760) 342-5987
Mailing address
82227 US HIGHWAY 111, STE B2, INDIO, CA 92201-5667
(760) 347-6636
(760) 342-5987
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
05702
CA
Other
Enumeration date
07/18/2014
Last updated
07/18/2014
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