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Contact Information

JOHN R JACOMO, MD
9930 TALBERT AVE
FOUNTAIN VALLEY, CA92708
 Phone: 714-964-6229
 Fax: 714-378-6233
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JOHN R JACOMO · (Male)

NPI # 1083757827
Status Active
Credentials MD
Entity Individual
Enumeration date 02/14/2007
Last updated 09/08/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # G51493
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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