ROBERT STEPHEN JACK

LOS ANGELES, CA
NPI1154338515
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207W00000X Ophthalmology
(Licence: CA  A63108)
Enumeration Date2006-08-01
Last Update Date2007-07-08
Business Address
Mr. ROBERT STEPHEN JACK M.D.
8717 LA TIJERA BLVD
LOS ANGELES, CA 90045-3906
Phone number: 310-645-4393
Mailing Address
Mr. ROBERT STEPHEN JACK M.D.
8717 LA TIJERA BLVD
LOS ANGELES, CA 90045-3906
Phone number: 310-645-4393