Individual
JACOB MICHAEL IZENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 PARNASSUS AVE, BOX 0984-RTP, SAN FRANCISCO, CA 94143-0984
(416) 476-7577
Mailing address
401 PARNASSUS AVE, BOX 0984-RTP, SAN FRANCISCO, CA 94143-0984
(416) 476-7577
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
138796
CA
Other
Enumeration date
04/08/2014
Last updated
10/22/2015
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