Individual provider · Type 1 NPI

Ted Victor Jacoby, MD

Student in an Organized Health Care Education/Training Program · Sacramento, CA

NPI number 1306520374 Active

Practice location

3301 C St Ste 1400
Sacramento, CA 95816-3367

Call (916) 551-2627 Map

Other practice locations

  • 1356 Lusitana St Fl 7, Honolulu, HI 96813-2409 · (808) 586-2898

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XMDR-8540 (HI)
Internal Medicine Physician 207R00000XMDR-8520 (HI)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1306520374

Ted Victor Jacoby, MD's National Provider Identifier is 1306520374, issued on Jun 12, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sacramento, CA. The record was last updated on Jun 25, 2024.