DR. ISAAC ENRIQUE JAKUBOWICZ (NPI# 1972605988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972605988 |
Entity Type | Individual |
Full Name | DR. ISAAC ENRIQUE JAKUBOWICZ |
Credential | M.D., M.P.H. |
Practice Address |
1400 Colorado Blvd Los Angeles CA 90041-2321 |
Mailing Address |
Po Box 25287 Los Angeles CA 90025-0287 |
Practice Telephone | 3102127706 |
Practice Fax Number | 3107830104 |
Mailing Telephone | 3102127706 |
Mailing Fax Number | 3107830104 |
Enumeration Date | 2006-09-01 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
A33639 | CA | Allopathic & Osteopathic Physicians |
X | 208000000X | Pediatrics | A33639 | CA | Allopathic & Osteopathic Physicians |
X | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
A33639 | CA | Allopathic & Osteopathic Physicians |
Street Address |
1400 COLORADO BLVD |
City | LOS ANGELES |
State | CA |
Zip Code | 90041-2321 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841274024 | Leonardo Cesar Ortiz | Family Medicine | 1400 Colorado Blvd, Los Angeles, CA 90041-2321 | 2005-12-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457994501 | Josephine Villanueva | Technician | 4433 Eagle Rock Blvd. #113, Los Angeles, CA 90041 | 2019-10-22 |
1457862484 | Maria Susana Espino Gonzales | Physiological Laboratory | 5264 Lockhaven Ave, Los Angeles, CA 90041 | 2017-10-17 |
1407366602 | Tuan H Phan | Pharmacist | 4414 Yolk Boulevard, Los Angeles, CA 90041 | 2017-10-03 |
1194195164 | College Vista, LLC | Skilled Nursing Facility | 4681 North Eagle Rock Blvd, Los Angeles, CA 90041 | 2015-10-02 |
1346640026 | Angelynn Hermes | Social Worker | 850 Colorado Blvd Ste 102, Los Angeles, CA 90041 | 2014-08-29 |
1205181179 | Michael E Ignacio | Dentist | 1916 W. Colorado, Los Angeles, CA 90041 | 2012-07-17 |
1093074999 | Marilyn Henry Murphy | Psychologist | 4368 Eagle Rock Boulevard, Los Angeles, CA 90041 | 2012-05-11 |
1235434911 | Mohammad Khaknegar | Dentist | 2455 Colorado Blvd., #16, Los Angeles, CA 90041 | 2011-01-11 |
1174844088 | Ileana Escobedo | Marriage & Family Therapist | 1551 Waldran Ave, Los Angeles, CA 90041 | 2010-06-15 |
1649404963 | Metro Healthcare Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 4515 Eagle Rock Blvd., Ste 111-c, Los Angeles, CA 90041 | 2009-05-14 |
Find all providers in zip 90041 |
Taxonomy Code | 207PP0204X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
Specialization | Pediatric Emergency Medicine |
Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063959153 | Gabriela Moriel | Emergency Medicine | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2017-01-26 |
1902250855 | Katherine Gitz | Emergency Medicine | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2016-04-18 |
1255728317 | Lucille Uber | Emergency Medicine | 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414 | 2015-04-16 |
1538569215 | Ariya Nu Chau | Emergency Medicine | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2014-08-29 |
1780098194 | Natasha Gill | Emergency Medicine | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2014-06-13 |
1407273345 | Robert Daniel Guglielmo | Emergency Medicine | 4650 W Sunset Blvd, Los Angeles, CA 90027 | 2014-03-27 |
1922430610 | Neelam Patel | Emergency Medicine | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2013-08-05 |
1164765244 | Bradley Samuel Goldberg | Emergency Medicine | 4650 W Sunset Blvd # 113, Los Angeles, CA 90027-6062 | 2013-03-27 |
1245572965 | Krysten Allana Chin | Emergency Medicine | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2013-03-20 |
1336406974 | Danielle L Levitt | Emergency Medicine | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2012-04-20 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90041 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.