MEDICARE: JACOB LEE WESTER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician	A137267	CA
2	207YX0905X	Otolaryngology/Facial Plastic Surgery Physician	A123456	CA

General Provider Information

NPI Number	:	1447693973
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACOB LEE WESTER MD

Provider Business Mailing Address
First Line	:	200 MEDICAL PLAZA DRIVEWAY STE 550
Second Line	:	UCLA DEPARTMENT OF HEAD AND NECK SURGERY
City	:	LOS ANGELES
State	:	CA
Zip	:	90095-0001
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 MEDICAL PLAZA DRIVEWAY STE 550
Second Line	:	UCLA DEPARTMENT OF HEAD AND NECK SURGERY
City	:	LOS ANGELES
State	:	CA
Zip	:	90095-0001
Country	:	US
Telephone Number	:	310-206-6688
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2013
Last Update Date	:	02/05/2026

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