Randy Jacobs Dermatology Inc.

LBN: Randy Jacobs Dermatology Inc.
Randy Jacobs Dermatology Inc. is an health care organization with primary practice located at 27640 Encanto Dr # B, Sun City CA 92586-3304. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Randy Jacobs Dermatology Inc. can be contacted via phone (951) 672-7673, or through Bolon, Tammy S via phone (951) 672-7673.

Contact Information

Primary practice address
27640 Encanto Dr # B Sun City CA 92586-3304
Phone: (951) 672-7673
Fax: (951) 672-1197
Website:
Map and Directions
Authorized official contact:
Name: Bolon, Tammy S
Phone: (951) 672-7673

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X A049395 California

Profile Details

NPI number 1699872630
LBN Legal business name Randy Jacobs Dermatology Inc.
DBA Doing business as
Authorized official Bolon, Tammy S
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Mar 12th, 2008 - about 17 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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