institution
J. Bruce Jacobs, Md, Inc
Diagnostic Radiology Physician in Los Angeles, California
NPI 1316240393

J. Bruce Jacobs, Md, Inc is a Diagnostic Radiology Physician based in Los Angeles, CA and is specialized in Diagnostic Radiology. J. Bruce Jacobs, Md, Inc practices in Los Angeles, CA. The NPI Number for J. Bruce Jacobs, Md, Inc is 1316240393 and holds a License No. A21604 (California).

The current practice location address for J. Bruce Jacobs, Md, Inc is 3055 Wilshire Blvd, Los Angeles, CA and can be reached out via phone at 213-487-4077 and via fax at 213-487-7517.

Location: 3055 Wilshire Blvd, Los Angeles, CA, 90010-1108
institution
Provider Profile Details
NPI Number
1316240393
Provider Name
J. Bruce Jacobs, Md, Inc
Credential
Provider Entity Type
Organization
Address
3055 Wilshire Blvd, Los Angeles, CA, 90010-1108
Phone Number
213-487-4077
Fax Number
213-487-7517
Provider Enumeration Date
12/13/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1316240393 05 CA
institution
Provider Business Practice Location Address Details
Address
3055 Wilshire Blvd
City
State
Zip
90010-1108
Phone Number
213-487-4077
Fax Number
213-487-7517
person
Provider Business Mailing Address Details
Address
3055 Wilshire Blvd
City
State
Zip
90010-1108
Phone Number
213-487-4077
Fax Number
213-487-7517
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
A21604 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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