| Lia Jacobson, | |
| 
					1200 N State St, Los Angeles, CA 90033-1029  | |
| (323) 409-5088 | |
| Not Available | 
| Full Name | Lia Jacobson | 
|---|---|
| Gender | Female | 
| Speciality | Otolaryngology | 
| Location | 1200 N State St, Los Angeles, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1952769481 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Y00000X | Otolaryngology | 140203 (California) | Primary | 
| Entity Name | Sutter Bay Medical Foundation | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909  | 
| Entity Name | University Of California San Francisco | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897  | 
| Entity Name | Ucsf Medical Group Business Services | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lia Jacobson, 1200 N State St, Los Angeles, CA 90033-1029 Ph: () -  | Lia Jacobson, 1200 N State St, Los Angeles, CA 90033-1029 Ph: (323) 409-5088  | 
Dr. Marc D Levy, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 12021 Wilmington Ave, Dept Of Otolaryngology, Los Angeles, CA 90059 Phone: 310-668-4536  | |
Geoffrey B Trenkle, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1700 E Cesar E Chavez Ave Ste 2500, Los Angeles, CA 90033 Phone: 323-268-6731 Fax: 323-268-6738  | |
Dr. Roxana Moayer, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1450 San Pablo St Ste 5100, Los Angeles, CA 90033 Phone: 323-442-5790  | |
Joel Avram Sercarz, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Plz, #550, Los Angeles, CA 90095 Phone: 310-206-6688  | |
Maie Abdul-rahman St John, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Plaza, #550, Los Angeles, CA 90095 Phone: 310-206-6688 Fax: 310-206-4105  | |
Alisa Zhukhovitskaya,  Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 200 Ucla Medical Plz Ste 550, Los Angeles, CA 90095 Phone: 310-206-6688 Fax: 310-825-2810  | |
Margaret Crystal Nurimba,  Otolaryngology Medicare: Medicare Enrolled Practice Location: 1200 N. State Street, Clinic Tower, Suite A2e, Los Angeles, CA 90033 Phone: 323-442-4830  |