Randy Jacobs Dermatology Inc.
NPI #1699872630 in Sun City, California
Provider Information
- NPI Number
- 1699872630
- Entity Type
- Organization
- Organization Name
- Randy Jacobs Dermatology Inc.
- Primary Specialty
- Dermatology
- Enumeration Date
- Sep 20, 2006
- Last Updated
- Mar 12, 2008
Practice Location
- Address
- 27640 ENCANTO DR
- Address 2
- # B
- City
- Sun City
- State
- California
- ZIP Code
- 92586-3304
- Phone
- (951) 672-7673
Authorized Official
- Name
- MRS. TAMMY S BOLON
- Title
- OFFICE MANAGER
- Phone
- (951) 672-7673
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
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