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Organization
SOMA & PSYCHE FUNCTIONAL MEDICINE
Active
Organization
SOMA & PSYCHE FUNCTIONAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JACOB MD, PHD (CHIEF FINANCIAL OFFICER)
(510) 847-6107
Entity
Organization
Contact information
Practice address
1801 BUSH ST STE 131D, SAN FRANCISCO, CA 94109-5273
(415) 952-6018
Mailing address
520 MIRAMAR AVE, SAN FRANCISCO, CA 94112-1215
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/26/2026
Last updated
08/26/2026
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