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Jessie Jacob Md Inc
Radiology Clinic/Center in Palo Alto, California
NPI 1972848638

Jessie Jacob Md Inc is a Radiology Clinic/Center based in Palo Alto, CA and is specialized in Radiology. Jessie Jacob Md Inc practices in Palo Alto, CA. The NPI Number for Jessie Jacob Md Inc is 1972848638 and holds a License No. (California).

The current practice location address for Jessie Jacob Md Inc is 900 Welch Rd, Palo Alto, CA and can be reached out via phone at 650-617-8655.

Location: 900 Welch Rd, Palo Alto, CA, 94304-1805
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972848638
Provider Name
Jessie Jacob Md Inc
Credential
Provider Entity Type
Organization
Address
900 Welch Rd, Palo Alto, CA, 94304-1805
Phone Number
650-617-8655
Fax Number
Provider Enumeration Date
12/06/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A107083 01 CA CALIFORNIA LICENCE
institution
Provider Business Practice Location Address Details
Address
900 Welch Rd
City
Palo Alto
State
California
Zip
94304-1805
Phone Number
650-617-8655
Fax Number
person
Provider Business Mailing Address Details
Address
900 Welch Rd
City
Palo Alto
State
California
Zip
94304-1805
Phone Number
650-617-8655
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology
Taxonomy
261QR0200X
License No.
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Definition
Definition to come...
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