Individual provider · Type 1 NPI

Jacob Poulose, MD.

Nephrology Physician · Northridge, CA

NPI number 1578723508 Active

Practice location

8349 Reseda Blvd Ste G
Northridge, CA 91324-5914

Fax (818) 775-9351

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XA113557 (CA)
Nephrology Physician Primary 207RN0300XA113557 (CA)

Nephrology Physician: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

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About NPI 1578723508

Jacob Poulose, MD.'s National Provider Identifier is 1578723508, issued on Jun 12, 2008. The primary taxonomy on file is Nephrology Physician (207RN0300X), and the practice location is in Northridge, CA. The record was last updated on Jan 11, 2022.