Jacob Poulose, MD.
NPI #1578723508 in Northridge, California
Provider Information
- NPI Number
- 1578723508
- Entity Type
- Individual
- Name
- Jacob Poulose, MD.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Internal Medicine - Nephrology
- Credential
- MD.
- Enumeration Date
- Jun 12, 2008
- Last Updated
- Jan 11, 2022
Practice Location
- Address
- 8349 RESEDA BLVD STE G
- City
- Northridge
- State
- California
- ZIP Code
- 91324-5914
- Phone
- (818) 886-5827
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
| Internal Medicine - Nephrology — Nephrology |
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