| NPI Details | |
|---|---|
| NPI | 1194750661 |
| Enumeration Date | 07/12/2006 |
| Last Updated | 05/22/2009 |
| Entity Type | Healthcare Provider |
| Active | Over 10 years ago |
| Authorized Information | |
|---|---|
| Name | JACOB S. JACOB |
| Position | PRESIDENT |
| Phone | (831) 372-6900 |
| Fax | (831) 372-0266 |
| Practice Location | |
|---|---|
| 665 MUNRAS AVE SUITE 200 MONTEREY CA, 93940-3134, US |
|
| Phone | (831) 372-6900 |
| Fax | (831) 372-0266 |
| Business Location | |
|---|---|
| 665 MUNRAS AVE SUITE 200 MONTEREY CA, 93940-3134, US |
|
| Phone | (831) 372-6900 |
| Fax | (831) 372-0266 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 207ND0101X |
| License State | California |
| License Number | A46142 |
| Remove 1194750661 NPI Number | |
According to our database, Spectrum Dermatology Medical Assocs Corp. NPI is 1194750661, taxonomy code is 207ND0101X and license number is A46142, license state is located at California. Spectrum Dermatology Medical Assocs Corp. physically located at 665 Munras Ave, Monterey CA, 93940-3134. NPI Number 1033115704 has the healthcare provider type.
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1194750661 NPI number is provided on an as is basis without warranty of any kind. 1194750661 is maintained by the National Plan & Provider Enumeration System. The contents of Spectrum Dermatology Medical Assocs Corp. are for informational purposes only.
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