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1407084908
REZA JACOB
LA JOLLA, CA
NPI
1407084908
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: CA A118826)
Enumeration Date
2009-06-24
Last Update Date
2022-07-21
Business Address
-- REZA JACOB M.D.
10820 N TORREY PINES RD
LA JOLLA, CA 92037-1036
Phone number: 858-554-8645
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Mailing Address
-- REZA JACOB M.D.
10790 RANCHO BERNARDO RD
SAN DIEGO, CA 92127-5705
Phone number: 858-554-8645
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