Individual
JACOB SETH BALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 PASTEUR DR, PALO ALTO, CA 94304-2203
(650) 723-4000
(650) 498-5840
Mailing address
300 PASTEUR DR STE 100, PALO ALTO, CA 94304-2203
(650) 723-4000
(650) 498-5840
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
253556
NY
2084P0800X
Psychiatry Physician
Primary
A96636
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A966360
—
CA
Enumeration date
05/01/2007
Last updated
04/29/2024
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