Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB POULOSE, MD.
ActiveNephrology · NORTHRIDGE, CA
Registration Details
- NPI Number
- 1578723508
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 12, 2008 (17.925565088008 yrs)
- Last Updated
- Jan 11, 2022
- Licenses
-
A113557 (CA)A113557 (CA)
Practice Information
- Address
-
8349 RESEDA BLVD STE GNORTHRIDGE, CA, 913245914Browse CA providers · Browse ZIP 91324
- Phone
- 8188865827
- Fax
- 8187759351
- Primary Specialty
-
Nephrology
207RN0300X
- Additional Specialty
- Nephrology
Other Nephrology Providers in NORTHRIDGE, CA
| Name | Credential | NPI |
|---|---|---|
| DR. RAM V PATAK | M.D. | 1144218488 |
| DR. RAMANATH DUKKIPATI | M.D | 1457570376 |
| MAHFUZUR RAHMAN | MD | 1447470554 |
| DR. WILLIAM YANG | M.D. | 1609005479 |
| ROUZBEH AFSARI | M.D. | 1962633289 |
| DR. DAYAN KAMAL GANDHI | M.D, M.S | 1285961789 |
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.