MR. CASEY ROBERT JACOBS IDC NPI 1386874394

NPI Information

MR. Casey Robert Jacobs, IDC is a technician other in San Diego, CA. The provider is a collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. MR. Casey Robert Jacobs, IDC NPI is 1386874394. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

34101 FARENHOLT AVE
SAN DIEGO, CA
ZIP 92134-000
Phone: (619) 532-6094

The enumeration date for this NPI number is 7/24/2009 and was last updated on 7/24/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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