institution
William A. Jacobson, M.d.
Primary Care Clinic/Center in Victorville, California
NPI 1508305574

William A. Jacobson, M.d. is a Primary Care Clinic/Center based in Victorville, CA and is specialized in Primary Care. William A. Jacobson, M.d. practices in Victorville, CA. The NPI Number for William A. Jacobson, M.d. is 1508305574 and holds a License No. A18012 (California).

The current practice location address for William A. Jacobson, M.d. is 15203 11Th St Ste D, Victorville, CA and can be reached out via phone at 760-241-0080 and via fax at 760-241-0091.

Location: 15203 11Th St Ste D, Victorville, CA, 92395-3737
institution
Provider Profile Details
NPI Number
1508305574
Provider Name
William A. Jacobson, M.d.
Credential
Provider Entity Type
Organization
Address
15203 11Th St Ste D, Victorville, CA, 92395-3737
Phone Number
760-241-0080
Fax Number
760-241-0091
Provider Enumeration Date
02/23/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1982655494 01 CA INDIVIDUAL NPI NUMBER
institution
Provider Business Practice Location Address Details
Address
15203 11Th St Ste D
City
State
Zip
92395-3737
Phone Number
760-241-0080
Fax Number
760-241-0091
person
Provider Business Mailing Address Details
Address
15203 11Th St Ste D
City
State
Zip
92395-3737
Phone Number
760-241-0080
Fax Number
760-241-0091
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
A18012 (California)
Definition
Definition to come...
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