Jacob, Richard
Jacob, Richard is an individual health care provider with primary practice located at 26800 Crown Valley Pkwy Suite 250, Mission Viejo CA 92691-6384. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Jacob, Richard can be contacted via phone (949) 364-3570.Contact Information
Primary practice address
26800 Crown Valley Pkwy Suite 250
Mission Viejo CA 92691-6384
Phone: (949) 364-3570
Fax: (949) 364-3430
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | G22936 | California |
Profile Details
| NPI number | 1093792640 |
|---|---|
| LBN Legal business name | Jacob, Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 26th, 2005 |
| Last updated | Jan 23rd, 2013 - about 13 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 | 1093792640 | NPPES |
| California | MEDICAID | 00G229360 |
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