Individual
JACK KABAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1225 CRANE ST, SUITE 200, MENLO PARK, CA 94025-4253
(650) 324-1156
(650) 324-1156
Mailing address
1225 CRANE ST, SUITE 200, MENLO PARK, CA 94025-4253
(650) 324-0056
(650) 324-1156
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A29333
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A293330
—
CA
Enumeration date
09/27/2006
Last updated
07/30/2015
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