Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB THOMAS BOLZ, PA-C
ActiveJACOB THOMAS BOLZ, PA-C is a Physician Assistant healthcare provider located in LAKESIDE, California. NPI 1386025682 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LAKESIDE, CA
Registration Details
- NPI Number
- 1386025682
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 11, 2015 (11.164859069632 yrs)
- Last Updated
- Jun 11, 2015
- License
-
52510 (CA)
Practice Information
- Address
-
12517 LAKESHORE DRLAKESIDE, CA, 920403103Browse CA providers · Browse ZIP 92040
- Phone
- 6194433843
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in LAKESIDE, CA
| Name | Credential | NPI |
|---|---|---|
| ZACH GLASCOX | — | 1891203105 |
| MATHEW MAZO REYNOLDS | — | 1578171260 |
| CHRISTIAN MICHAEL KONDAN | PA-C | 1255073748 |
| HOLLY MANSOUR | — | 1760351415 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.