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Dr. Desiderio C Jacob, MD
Preferred Provider Organization in Compton, California
NPI 1245456417

Desiderio C Jacob is a Preferred Provider Organization based in Palos Verdes Estates, CA. Desiderio C Jacob practices in Compton, CA and has the professional credentials of MD. The NPI Number for Desiderio C Jacob is 1245456417 and holds a License No. A23679 (California).

The current practice location address for Desiderio C Jacob is 2140 S Santa Fe Ave, Compton, CA and can be reached out via phone at 310-631-1107 and via fax at 310-631-6425.

Location: 2140 S Santa Fe Ave, Compton, CA, 90274-2053
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245456417
Provider Name
Desiderio C Jacob
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2140 S Santa Fe Ave, Compton, CA, 90274-2053
Phone Number
310-631-1107
Fax Number
310-631-6425
Provider Enumeration Date
04/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A23679 01 CA CA MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
2140 S Santa Fe Ave
City
Compton
State
California
Zip
90221-5311
Phone Number
310-631-1107
Fax Number
310-631-6425
person
Provider Business Mailing Address Details
Address
2140 S Santa Fe Ave
City
Compton
State
California
Zip
90221-5311
Phone Number
310-631-1107
Fax Number
310-631-6425
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
A23679 (California)
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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