Jessie Jacob Md Inc

LBN: Jessie Jacob Md Inc
Jessie Jacob Md Inc is an health care organization with primary practice located at 900 Welch Rd Suite 101, Palo Alto CA 94304-1805. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty. Jessie Jacob Md Inc can be contacted via phone (650) 617-8655, or through Jacob, Jessie K via phone (914) 282-6171.

Contact Information

Primary practice address
900 Welch Rd Suite 101 Palo Alto CA 94304-1805
Phone: (650) 617-8655
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jacob, Jessie K Doctor of Medicine (MD)
Phone: (914) 282-6171

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X

Profile Details

NPI number 1972848638
LBN Legal business name Jessie Jacob Md Inc
DBA Doing business as
Authorized official Jacob, Jessie K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2012
Last updated Dec 6th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972848638 NPPES
California Other A107083 CALIFORNIA LICENCE

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