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J.BRUCE JACOBS M.D. INC. NPI 1821041377


NPI Information

NPI: 1821041377
Provider Name: J.BRUCE JACOBS, M.D., INC.

Doing Business As: DESERT CT MRI

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
39700 BOB HOPE DR
SUITE 101
RANCHO MIRAGE, CA
ZIP 92270
Phone: (760) 770-9696
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J.BRUCE JACOBS, M.D., INC. is a diagnostic radiology radiology in Rancho Mirage, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. J.BRUCE JACOBS, M.D., INC. NPI is 1821041377. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Desert Ct Mri.

The provider's business location address is:

39700 BOB HOPE DR
SUITE 101
RANCHO MIRAGE, CA
ZIP 92270-267
Phone: (760) 770-9696
Fax: (760) 346-6478

The provider's authorized official is Jay Bruce Jacobs .
The authorized official title is President and has the following contact phone number (760) 770-9696.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 6/30/2008.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyA21604CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ34843ZMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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