Linidia J Willies-Jacobo in San Diego - Pediatrics

Linidia J Willies-Jacobo - NPI 1174556179

Linidia J Willies-Jacobo is a Pediatrics in San Diego, California. Linidia J Willies-Jacobo practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Linidia J Willies-Jacobo is 1174556179. The last update date is 2015-03-27.

Linidia J Willies-Jacobo's current location address is 3860 Calle Fortunada, San Diego, California. You can contact this provider via phone number 8585021135 and fax number 8586364319. The mailing address for Linidia J Willies-Jacobo is 3860 Calle Fortunada, San Diego, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Linidia J Willies-Jacobo
Address 3860 Calle Fortunada, San Diego, California
Phone Number 8585021135
Fax Number 8586364319
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1174556179
Provider Enumeration Date 2006-07-10
Last Updated Date 2015-03-27

Provider Mailing Address Detail

Address 3860 Calle Fortunada
City San Diego
State California (CA)
Post Code 921234802
Phone Number 8585021135
Fax Number 8586364319

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No G78269
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00G782690 CA --

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FAQs about Linidia J Willies-Jacobo

What is the unique identifier code issued to Linidia J Willies-Jacobo by the Centers for Medicare & Medicaid Services (CMS)?

The Linidia J Willies-Jacobo has been assigned the NPI (National Provider Identifier) 1174556179. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Linidia J Willies-Jacobo?

The Linidia J Willies-Jacobo is physically situated at 3860 Calle Fortunada, in the city of San Diego, state of CA, with the postal code 921234802.

What is the Linidia J Willies-Jacobo's specialty and taxonomy code?

The Linidia J Willies-Jacobo's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.

On what date did the Linidia J Willies-Jacobo receive the assignment of its 1174556179 from the Centers for Medicare & Medicaid Services?

The Linidia J Willies-Jacobo was issued its 1174556179 by the Centers for Medicare & Medicaid Services on 2006-07-10.

When was the information regarding Linidia J Willies-Jacobo most recently updated?

The details pertaining to the Linidia J Willies-Jacobo, including its address, specialty, and other relevant information, were last refreshed on 2015-03-27.

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