Jacobs, Lucien Richard
Jacobs, Lucien Richard is an individual health care provider with primary practice located at 5525 Etiwanda Ave Suite 110, Tarzana CA 91356-3647. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Jacobs, Lucien Richard can be contacted via phone (818) 708-6070.Contact Information
Primary practice address
5525 Etiwanda Ave Suite 110
Tarzana CA 91356-3647
Phone: (818) 708-6070
Fax: (818) 889-8005
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | A30329 | California |
Profile Details
| NPI number | 1639155658 |
|---|---|
| LBN Legal business name | Jacobs, Lucien Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2005 |
| Last updated | Apr 29th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639155658 | NPPES |
| Other | 100002870 | RAILROAD MEDICARE |
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