Doctor Name: | DR. ALAN JACOBS |
NPI Number: | 1407169345 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D., PH.D. |
License Number: | G083705 |
Business Practice Address: | 3721 Ortega Ct Palo Alto, CA - 943034451 |
Business Phone Number: | 6505755260 |
Business Fax Number: | 6502307130 |
Mailing Address: | 3721 Ortega Ct, PALO ALTO |
State: | CA |
Postal Code: | 943034451 |
Phone Number: | 6505755260 |
Fax Number: | 6502307130 |
NPI Enumeration Date: | 07/21/2010 |
NPI Last Update Date: | 07/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | G083705 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |