Individual
DR. JOSHUA A JACOBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 S FAIR OAKS AVE STE 404, PASADENA, CA 91105-2562
(626) 716-9206
(626) 709-3568
Mailing address
301 S FAIR OAKS AVE STE 404, PASADENA, CA 91105-2562
(626) 716-9206
(626) 709-3568
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
C55905
CA
207RC0000X
Cardiovascular Disease Physician
Primary
L3348
TX
207RI0011X
Interventional Cardiology Physician
L3348
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158395702
—
TX
Enumeration date
05/03/2007
Last updated
02/15/2018
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