Ivan Richard Jacobs M.D.

NPI 1093719858 - Ophthalmology - 207W00000X

NPI Details
NPI 1093719858
Gender Male
Enumeration Date 06/09/2005
Last Updated 09/25/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
8501 WILSHIRE BLVD
STE 316
BEVERLY HILLS CA, 90211-3128, US
Phone (310) 652-2255
Fax (310) 652-2039
Business Location
8501 WILSHIRE BLVD
STE 316
BEVERLY HILLS CA, 90211-3128, US
Phone (310) 652-2255
Fax (310) 652-2039
Toxanomy
Taxonomy Code 207W00000X
License State California
License Number C27493
Remove 1093719858 NPI Number
 

According to our database, Ivan Richard Jacobs M.D. NPI is 1093719858, taxonomy code is 207W00000X and license number is C27493, license state is located at California. Ivan Richard Jacobs M.D. physically located at 8501 Wilshire Blvd, Beverly Hills CA, 90211-3128. NPI Number Ivan Richard Jacobs M.D. has the Individual type.

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1093719858 NPI number is provided on an as is basis without warranty of any kind. 1093719858 is maintained by the National Plan & Provider Enumeration System. The contents of Ivan Richard Jacobs M.D. are for informational purposes only.