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
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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