Individual
DR. JULIE ANN JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
555 E HARDY ST, INGLEWOOD, CA 90301-4011
(310) 673-4660
(310) 963-0403
Mailing address
337 E 88TH ST, APT 2B, NEW YORK, NY 10128-4952
(917) 583-5648
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A102769
CA
Other
Enumeration date
03/05/2008
Last updated
03/05/2008
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