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Individual

DR. GEOFFREY SAMUEL JACOBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
162 1ST ST BLDG 1402, PORT HUENEME, CA 93043-4316
(805) 982-6356
Mailing address
162 1ST ST BLDG 1402, PORT HUENEME, CA 93043-4316
(805) 982-6356

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
C53774
CA
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
C53774
CA

Other

Enumeration date
01/19/2006
Last updated
03/03/2025
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