Dr. Randolph J Jacobs, MD
Dr. Randolph J Jacobs, MD is a Dermatology in Wildomar, California. Qualified in 1986, 40 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 40
- Licensed in
- CA
- In the registry since
- 2006
- Specialties on file
- 5
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
23905 Clinton Keith Rd Ste 114Wildomar, CA 92595-7899
Phone: (951) 672-7673
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence G61654 (CA) |
|---|---|
| Clinical & Laboratory Dermatological Immunology Physician | Taxonomy 207NI0002X · Licence G61654 (CA) |
| Dermatopathology Physician | Taxonomy 207ND0900X · Licence G61654 (CA) |
| MOHS-Micrographic Surgery Physician | Taxonomy 207ND0101X · Licence G61654 (CA) |
| Pediatric Dermatology Physician | Taxonomy 207NP0225X · Licence G61654 (CA) |
Record details
| NPI number | 1417975905 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | July 17, 2006 |
| Last updated in NPPES | March 12, 2008 |
| Mailing address | 23905 Clinton Keith Rd Ste 114, Wildomar, CA 92595-7899 |
Medicare enrollment
| Medicare specialty | DERMATOLOGY |
|---|---|
| Medical school | OTHER |
| Graduated | 1986 (40 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |