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Edwin Lawrence Jacobs, MD
Hematology & Oncology Physician in Burbank, California
NPI 1366462939

Edwin Lawrence Jacobs is a Hematology & Oncology Physician based in Los Angeles, CA and is specialized in Hematology & Oncology. Edwin Lawrence Jacobs practices in Burbank, CA and has the professional credentials of MD. The NPI Number for Edwin Lawrence Jacobs is 1366462939 and holds a License No. G62813 (California).

The current practice location address for Edwin Lawrence Jacobs is 181 S Buena Vista St, Burbank, CA and can be reached out via phone at 818-840-0921 and via fax at 818-840-7064.

Location: 181 S Buena Vista St, Burbank, CA, 90051-5494
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366462939
Provider Name
Edwin Lawrence Jacobs
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
181 S Buena Vista St, Burbank, CA, 90051-5494
Phone Number
818-840-0921
Fax Number
818-840-7064
Provider Enumeration Date
07/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OOG628130 05 CA
institution
Provider Business Practice Location Address Details
Address
181 S Buena Vista St
City
Burbank
State
California
Zip
91505-4504
Phone Number
818-840-0921
Fax Number
818-840-7064
person
Provider Business Mailing Address Details
Address
181 S Buena Vista St
City
Burbank
State
California
Zip
91505-4504
Phone Number
818-840-0921
Fax Number
818-840-7064
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
G62813 (California)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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