Paul F Jacobsen, M.D., a Medical Corporaion

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

G33336 Issued in CA

Legal business name

PAUL F JACOBSEN, M.D., A MEDICAL CORPORAION

Practice address

6512 Painter Ave
Whittier, CA 90601-4518

Phone

(562) 698-9743

Fax

(562) 698-1767

NPI assigned

Feb 3, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Paul Frederick Jacobsen, M.D.

Title

President

Phone

(562) 698-9743

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346212263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6512 PAINTER AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906014518",
            "telephone_number": "562-698-9743",
            "fax_number": "562-698-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6512 PAINTER AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906014518",
            "telephone_number": "562-698-9743",
            "fax_number": "562-698-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL F JACOBSEN, M.D., A MEDICAL CORPORAION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACOBSEN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-698-9743",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "G33336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Otolaryngology Physician in Whittier, CA
• Providers in Whittier, CA by specialty
• Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.