Richard Jacob M.D.

NPI 1093792640 - Internal Medicine - 207RC0000X

NPI Details
NPI 1093792640
Gender Male
Enumeration Date 12/26/2005
Last Updated 01/23/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
26800 CROWN VALLEY PKWY
SUITE 250
MISSION VIEJO CA, 92691-6384, US
Phone (949) 364-3570
Fax (949) 364-3430
Business Location
26522 LA ALAMEDA
SUITE 120
MISSION VIEJO CA, 92691-6330, US
Phone (949) 282-1671
Fax (949) 367-0518
Toxanomy
Taxonomy Code 207RC0000X
License State California
License Number G22936
Remove 1093792640 NPI Number
 

According to our database, Dr. Richard Jacob M.D. NPI is 1093792640, taxonomy code is 207RC0000X and license number is G22936, license state is located at California. Richard Jacob M.D. physically located at 26800 Crown Valley Pkwy, Mission Viejo CA, 92691-6384. NPI Number Richard Jacob M.D. has the Individual type.

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1093792640 NPI number is provided on an as is basis without warranty of any kind. 1093792640 is maintained by the National Plan & Provider Enumeration System. The contents of Richard Jacob M.D. are for informational purposes only.