| NPI | 1902047749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCIEN R JACOBS President 818-708-6070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A30329) |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2011-10-19 |