Jacob Poulose, MD. is a nephrology internal medicine in Northridge, CA with 17 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Jacob Poulose, MD. NPI is 1578723508. 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:
8349 RESEDA BLVD STE G
NORTHRIDGE, CA
ZIP 91324-914
Phone: (818) 886-5827
Fax: (818) 775-9351
The NPI 1578723508 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 6/12/2008 and was last updated on 1/11/2022.