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Organization

LUCIEN R JACOBS MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LUCIEN R JACOBS M.D. (PRESIDENT)
(818) 708-6070
Entity
Organization

Contact information

Practice address
18425 BURBANK BLVD, SUITE 500, TARZANA, CA 91356-2806
(818) 708-6070
(818) 708-6070
Mailing address
18425 BURBANK BLVD, SUITE 500, TARZANA, CA 91356-2806
(818) 708-6070
(818) 708-6070

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A30329
CA

Other

Enumeration date
03/06/2009
Last updated
10/19/2011
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