Individual
JERRY IRVING JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1633 S COURT ST, VISALIA, CA 93277-4945
(559) 635-6090
Mailing address
2100 POWELL ST, SUITE 900, EMERYVILLE, CA 94608-1826
(510) 350-2777
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
C41921
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C419210
—
CA
Enumeration date
08/08/2006
Last updated
01/25/2008
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