Jacobson, Julienne Raquel
Jacobson, Julienne Raquel is an individual health care provider with primary practice located at 4650 W Sunset Blvd Ms# 82, Los Angeles CA 90027-6062. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as her primary health care specialty. Jacobson, Julienne Raquel can be contacted via phone (323) 669-2471.Contact Information
Primary practice address
4650 W Sunset Blvd Ms# 82
Los Angeles CA 90027-6062
Phone: (323) 669-2471
Fax: (323) 667-2019
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | A68305 | California |
Profile Details
NPI number | 1659465607 |
---|---|
LBN Legal business name | Jacobson, Julienne Raquel |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 3rd, 2006 |
Last updated | Jul 8th, 2007 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1659465607 | NPPES |
California | Other | 00A683050 N66 | CAL OPTIMA' |
California | MEDICAID | 00A683050 | CAL OPTIMA' |
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