John R Jacomo, MD Valid NPI
Individual provider · Family Medicine Physician · Fountain Valley, CA
- NPI
- 1083757827
- Type
- Individual (Type 1)
- Primary specialty
- Family Medicine Physician (Family Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207Q00000X
- License number
- G51493 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2007-02-14
- Last updated
- 2008-09-08
Practice location
9930 Talbert Ave
Fountain Valley, CA 92708
(714) 964-6229