Individual
JACOB ANDRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1069 LOS PALOS DR, SALINAS, CA 93901
(831) 758-2724
Mailing address
1069 LOS PALOS DR, SALINAS, CA 93901-3916
(831) 758-2724
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
A130911
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659630044
—
CA
Enumeration date
05/07/2012
Last updated
10/21/2022
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