| William A. Jacobson, M.D. | |
|
15203 11th St Ste D Victorville CA 92395-3737 | |
| (760) 241-0080 | |
| (760) 241-0091 |
| Full Name | William A. Jacobson, M.D. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 15203 11th St Ste D, Victorville, California |
| Authorized Official Name and Position | William Arthur Jacobson (M.D.) |
| Authorized Official Contact | 7602410080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William A. Jacobson, M.D. 15203 11th St Ste D Victorville CA 92395-3737 Ph: (760) 241-0088 | William A. Jacobson, M.D. 15203 11th St Ste D Victorville CA 92395-3737 Ph: (760) 241-0080 |
| NPI Number | 1508305574 |
|---|---|
| Provider Enumeration Date | 02/23/2017 |
| Last Update Date | 02/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508305574 | NPI | - | NPPES |
| 1982655494 | Other | CA | INDIVIDUAL NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A18012 (California) | Primary |
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