Jacobs, Edwin Lawrence

Jacobs, Edwin Lawrence is an individual health care provider with primary practice located at 181 S Buena Vista St 4Rth Floor, Burbank CA 91505-4504. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Jacobs, Edwin Lawrence can be contacted via phone (818) 840-0921.

Contact Information

Primary practice address
181 S Buena Vista St 4Rth Floor Burbank CA 91505-4504
Phone: (818) 840-0921
Fax: (818) 840-7064
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X G62813 California

Profile Details

NPI number 1366462939
LBN Legal business name Jacobs, Edwin Lawrence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Apr 10th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366462939 NPPES
California MEDICAID OOG628130

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