Bruce A Jacobs in Glendale - Sports Physician
Bruce A Jacobs - NPI 1134239361
Bruce A Jacobs is a Sports Physician in Glendale, California. Bruce A Jacobs practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Bruce A Jacobs is 1134239361. The last update date is 2022-07-21.
Bruce A Jacobs's current location address is 3510 1/2 Ocean View Blvd, Glendale, California. You can contact this provider via phone number 8182480887 and fax number 8182488112. The mailing address for Bruce A Jacobs is 3510 1/2 Ocean View Blvd, Glendale, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce A Jacobs |
|---|---|
| Address | 3510 1/2 Ocean View Blvd, Glendale, California |
| Phone Number | 8182480887 |
| Fax Number | 8182488112 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1134239361 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 3510 1/2 Ocean View Blvd |
|---|---|
| City | Glendale |
| State | California (CA) |
| Post Code | 912081285 |
| Phone Number | 8182480887 |
| Fax Number | 8182488112 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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What is the unique provider identifier assigned to Bruce A Jacobs?
The Bruce A Jacobs has been issued the NPI (National Provider Identifier) 1134239361 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Bruce A Jacobs located?
The Bruce A Jacobs is located at 3510 1/2 Ocean View Blvd, Glendale, CA 912081285.
What is Bruce A Jacobs's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bruce A Jacobs's area of specialization is Sports Physician, and the corresponding taxonomy code that categorizes this field of practice is 111Ns0005X.
On what date did the Bruce A Jacobs receive its 1134239361 assignment from the Centers for Medicare & Medicaid Services?
The Bruce A Jacobs was assigned its 1134239361 by the Centers for Medicare & Medicaid Services on 2006-08-30.
As of what date was the information regarding Bruce A Jacobs, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Bruce A Jacobs, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-07-21.