Gretchen H. Jacobson, Md, A Professional Corporation

LBN: Gretchen H. Jacobson, Md, A Professional Corporation
Gretchen H. Jacobson, Md, A Professional Corporation is an health care organization with primary practice located at 1700 N Rose Ave #250, Oxnard CA 93030-3790. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as the primary health care specialty. Gretchen H. Jacobson, Md, A Professional Corporation can be contacted via phone (805) 983-1700, or through Morelli, Desiree via phone (805) 983-1700.

Contact Information

Primary practice address
1700 N Rose Ave #250 Oxnard CA 93030-3790
Phone: (805) 983-1700
Fax: (805) 983-7144
Website:
Map and Directions
Authorized official contact:
Name: Morelli, Desiree
Phone: (805) 983-1700

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X G63450 California

Profile Details

NPI number 1083753776
LBN Legal business name Gretchen H. Jacobson, Md, A Professional Corporation
DBA Doing business as
Authorized official Morelli, Desiree
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2007
Last updated Jun 21st, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083753776 NPPES
California MEDICAID 00G634500

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