Peter J. Jacob MD

NPI 1295802148 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1295802148
Gender Male
Enumeration Date 11/29/2006
Last Updated 09/23/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
13652 CANTARA ST
PANORAMA CITY CA, 91402-5423, US
Phone (818) 375-2000
Fax
Business Location
13652 CANTARA ST
PANORAMA CITY CA, 91402-5423, US
Phone (818) 375-2000
Fax
Toxanomy
Taxonomy Code 207V00000X
License State California
License Number A35470
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According to our database, Peter J. Jacob MD NPI is 1295802148, taxonomy code is 207V00000X and license number is A35470, license state is located at California. Peter J. Jacob MD physically located at 13652 Cantara St, Panorama City CA, 91402-5423. NPI Number Peter J. Jacob MD has the Individual type.

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1295802148 NPI number is provided on an as is basis without warranty of any kind. 1295802148 is maintained by the National Plan & Provider Enumeration System. The contents of Peter J. Jacob MD are for informational purposes only.