Dr. Bradley Alan Jacoby, D.O
Pediatrics in Los Angeles, CA. Individual provider (NPI-1).
NPI number1124459532
StatusActive
Last updated in NPPESDec 1, 2021
Details
- NPI
- 1124459532
- Entity type
- Individual (NPI-1)
- Name
- Dr. Bradley Alan Jacoby
- Credential
- D.O
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 11, 2013
- Last updated
- Dec 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 20A12719 | CA | Yes |
Practice location
1720 E Cesar E Chavez AveLos Angeles, CA 90033-2414
Phone 323-268-5000
Mailing address
1720 E Cesar E Chavez AveLos Angeles, CA 90033-2414
Phone 323-268-5000
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