Individual
DR. CHRISTINA N JACOB
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2230 LYNN RD, STE 230, THOUSAND OAKS, CA 91360-1984
(805) 373-5864
(805) 374-2439
Mailing address
PO BOX 7629, WESTLAKE VILLAGE, CA 91359-7629
(805) 373-5864
(805) 374-2439
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A64955
CA
Other
Enumeration date
05/27/2005
Last updated
07/08/2007
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