Organization
JAMES D. JACOBITZ, M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES DAVID JACOBITZ M.D. (DOCTOR)
(415) 337-7546
Entity
Organization
Contact information
Practice address
190 EUCALYPTUS DR, SAN FRANCISCO, CA 94132-1629
(415) 337-3546
(415) 337-7547
Mailing address
190 EUCALYPTUS DR, SAN FRANCISCO, CA 94132-1629
(415) 337-3546
(415) 337-7547
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G10697
CA
207ND0900X
Dermatopathology Physician
G10697
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G106970
MEDICARE PT NUMBER
CA
Enumeration date
04/14/2008
Last updated
04/16/2008
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