Individual
CHARLES E. JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
368 FELL ST, SAN FRANCISCO, CA 94102-5144
(415) 861-0828
(415) 861-0140
Mailing address
8945 GOLF LINKS RD, OAKLAND, CA 94605-4124
(510) 317-1444
(415) 861-0257
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
08/05/2015
Last updated
05/15/2025
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