Jacome Medical Group

NPI #1104105071 in Rancho Mirage, California

Provider Information

NPI Number: 1104105071
Entity Type: Organization
Organization Name: Jacome Medical Group
Primary Specialty: Specialist
Enumeration Date: Aug 10, 2011
Last Updated: Aug 10, 2011

Practice Location

Address: 72780 COUNTRY CLUB DR
Address 2: SUITE D403
City: Rancho Mirage
State: California
ZIP Code: 92270-4126
Phone: (760) 773-2616

Authorized Official

Name: DR. ENRIQUE G JACOME, MD
Title: PRESIDENT
Phone: (760) 773-2616

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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