Jacoub, Jack F
Jacoub, Jack F is an individual health care provider with primary practice located at 18111 Brookhurst St Ste 6100 , Fountain Valley CA 92708-6728. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Jacoub, Jack F can be contacted via phone (714) 378-7330.Contact Information
Primary practice address
18111 Brookhurst St Ste 6100
Fountain Valley CA 92708-6728
Phone: (714) 378-7330
Fax: (714) 377-0003
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A79623 | California |
Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | A79623 | California |
Profile Details
NPI number | 1528016318 |
---|---|
LBN Legal business name | Jacoub, Jack F |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 4th, 2006 |
Last updated | May 26th, 2021 - about 3 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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