Robert Stephen Jack in Los Angeles - Ophthalmology
Robert Stephen Jack - NPI 1154338515
Robert Stephen Jack is a Ophthalmology in Los Angeles, California. Robert Stephen Jack practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Robert Stephen Jack is 1154338515. The last update date is 2007-07-08.
Robert Stephen Jack's current location address is 8717 La Tijera Blvd, Los Angeles, California. You can contact this provider via phone number 3106454393 and fax number 3106454508. The mailing address for Robert Stephen Jack is 8717 La Tijera Blvd, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Stephen Jack |
|---|---|
| Address | 8717 La Tijera Blvd, Los Angeles, California |
| Phone Number | 3106454393 |
| Fax Number | 3106454508 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1154338515 |
|---|---|
| Provider Enumeration Date | 2006-08-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 8717 La Tijera Blvd |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900453906 |
| Phone Number | 3106454393 |
| Fax Number | 3106454508 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | A63108 |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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What is the unique identification code assigned to Robert Stephen Jack by the Centers for Medicare & Medicaid Services?
The Robert Stephen Jack has been issued the NPI (National Provider Identifier) 1154338515. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Robert Stephen Jack located?
The Robert Stephen Jack is located at 8717 La Tijera Blvd, Los Angeles, CA 900453906.
What is the Robert Stephen Jack's area of specialization and corresponding taxonomy classification?
The Robert Stephen Jack's specialty field is Ophthalmology, and it falls under the taxonomy code 207W00000X, which categorizes healthcare providers based on their specialties.
When did Robert Stephen Jack receive its 1154338515 assignment?
The Robert Stephen Jack was assigned its 1154338515 on 2006-08-01, which is the date when this unique identifier was issued to the organization.
As of what date were the Robert Stephen Jack's details last updated?
The information pertaining to the Robert Stephen Jack, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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