Organization
JAMES A JACOBS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES JACOBS (OWNER)
(949) 718-7086
Entity
Organization
Contact information
Practice address
21812 MIDCREST DR, LAKE FOREST, CA 92630-6587
(949) 718-7086
Mailing address
21812 MIDCREST DR, LAKE FOREST, CA 92630-6587
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
—
—
Other
Enumeration date
02/16/2008
Last updated
06/26/2008
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