Search › California › 1710I1002X
Durell Jacobs, IDC
NPI 1508231606 · on the registry since 2015
Practice
- Address
- 34101 Farenholt Ave Bldg 14
San Diego, CA 92134 - Phone
- (619) 532-7968
- Organisation at this address
- United States Navy
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 491
Registry record
- Primary taxonomy
- 1710I1002X
1710I1002X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-12-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California