Jacobs, Lisa

Jacobs, Lisa is an individual health care provider with primary practice located at 17100 Euclid Street, Picu , Fountain Valley CA 92708. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Jacobs, Lisa can be contacted via phone (714) 966-7253.

Contact Information

Primary practice address
17100 Euclid Street, Picu Fountain Valley CA 92708
Phone: (714) 966-7253
Fax: (714) 966-3354
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A149687 California

Profile Details

NPI number 1376937367
LBN Legal business name Jacobs, Lisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2015
Last updated Apr 24th, 2019 - about 7 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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