Jacobs, Randolph J

Jacobs, Randolph J is an sole proprietor health care provider with primary practice located at 23905 Clinton Keith Rd Ste 114 , Wildomar CA 92595-7899. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Pediatric Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Jacobs, Randolph J can be contacted via phone (951) 672-7673.

Contact Information

Primary practice address
23905 Clinton Keith Rd Ste 114 Wildomar CA 92595-7899
Phone: (951) 672-7673
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X G61654 California
Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology 207NI0002X G61654 California
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X G61654 California
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X G61654 California
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X G61654 California

Profile Details

NPI number 1417975905
LBN Legal business name Jacobs, Randolph J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2006
Last updated Mar 12th, 2008 - about 17 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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