Individual
JACOB MOULDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3061 FILLMORE ST, SAN FRANCISCO, CA 94123-4009
(415) 292-3440
Mailing address
3061 FILLMORE ST, SAN FRANCISCO, CA 94123-4009
(415) 292-3440
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20A18277
CA
2084P0800X
Psychiatry Physician
OS16307
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/16/2016
Last updated
06/11/2020
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