| NPI | 1588757009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY JACOBS Direct/Sole Owner 818-888-7815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G52993) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA G52993) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |