| Bruce A Jacobson M D A Professional Corporation | |
|
7301 Medical Center Drive Suite 404 West Hills CA 91307 | |
| (818) 347-3239 | |
| (818) 348-0444 |
| Full Name | Bruce A Jacobson M D A Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 7301 Medical Center Drive, West Hills, California |
| Authorized Official Name and Position | Bruce A Jacobson (OWNER) |
| Authorized Official Contact | 8183473239 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce A Jacobson M D A Professional Corporation 7301 Medical Center Drive Suite 404 West Hills CA 91307 Ph: (818) 347-3239 | Bruce A Jacobson M D A Professional Corporation 7301 Medical Center Drive Suite 404 West Hills CA 91307 Ph: (818) 347-3239 |
| NPI Number | 1548338429 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 08/31/2020 |
| Medicare PECOS PAC ID | 4486975752 |
|---|---|
| Medicare Enrollment ID | O20150706001745 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548338429 | NPI | - | NPPES |
| 00A29702 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A43500 (California) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Bruce A Jacobson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558314971 PECOS PAC ID: 8527061787 Enrollment ID: I20060809000265 |
Gary H Nudell M D A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7345 Medical Center Dr Ste 160, West Hills, CA 91307 Phone: 818-676-4806 Fax: 818-676-4820 | |
Vahid Hemat Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23101 Sherman Pl, Suite 407, West Hills, CA 91307 Phone: 818-999-3800 Fax: 818-999-3808 | |
Insite Digestive Health Care - West Hills Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7320 Woodlake Ave Ste 310, West Hills, CA 91307 Phone: 818-346-9911 | |
Tigalat Shalita D O Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7230 Medical Center Dr Ste 202, West Hills, CA 91307 Phone: 818-676-0080 Fax: 818-676-0090 | |
Canoga Park Medical Group A Professional Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7301 Medical Center Dr, Suite 405, West Hills, CA 91307 Phone: 818-347-3077 Fax: 818-347-8334 | |
Marc I. Lavin M.d., A Professional Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7345 Medical Center Dr Ste 160, West Hills, CA 91307 Phone: 818-676-4805 Fax: 818-676-4820 | |
Medhi Izadi, Do Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7301 Medical Center Dr Ste 302, West Hills, CA 91307 Phone: 818-888-3387 |