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DAVID ALEXANDER JACOBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1036 LAUREL ST, SAN CARLOS, CA 94070
(650) 631-7000
(650) 631-2309
Mailing address
1036 LAUREL ST, SAN CARLOS, CA 94070
(650) 631-7000
(650) 631-2309

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G27649
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
011912530
RAILROAD MEDICARE
CA
Enumeration date
01/18/2006
Last updated
11/29/2021
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