Brent Jacobsen in Wildomar - Emergency Medicine
Brent Jacobsen - NPI 1790890465
Brent Jacobsen is a Emergency Medicine in Wildomar, California. Brent Jacobsen practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Brent Jacobsen is 1790890465. The last update date is 2007-11-06.
Brent Jacobsen's current location address is 36485 Inland Valley Dr, Wildomar, California. You can contact this provider via phone number 9096779773. The mailing address for Brent Jacobsen is 36485 Inland Valley Dr, Wildomar, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brent Jacobsen |
|---|---|
| Address | 36485 Inland Valley Dr, Wildomar, California |
| Phone Number | 9096779773 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.O |
NPI Number Detail
| NPI Number | 1790890465 |
|---|---|
| Provider Enumeration Date | 2006-08-20 |
| Last Updated Date | 2007-11-06 |
Provider Mailing Address Detail
| Address | 36485 Inland Valley Dr |
|---|---|
| City | Wildomar |
| State | California (CA) |
| Post Code | 925959681 |
| Phone Number | 9096779773 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | 20A8142 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00AX814200 | CA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Brent Jacobsen?
The Brent Jacobsen has been issued the NPI (National Provider Identifier) 1790890465 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Brent Jacobsen?
The Brent Jacobsen is physically situated at 36485 Inland Valley Dr, in the city of Wildomar, state of CA, with the postal code 925959681.
What is Brent Jacobsen's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Brent Jacobsen is Emergency Medicine, and the taxonomy classification code that categorizes this area of expertise is 207P00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1790890465 to Brent Jacobsen?
The Centers for Medicare & Medicaid Services originally issued the 1790890465 to Brent Jacobsen on 2006-08-20.
As of what date were the details related to Brent Jacobsen most recently updated or revised?
The information pertaining to Brent Jacobsen, including its address, specialty, and other relevant details, was last updated or revised on 2007-11-06.