Individual
DR. JACOB SPIVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1425 S MAIN ST, WALNUT CREEK, CA 94596-5318
(925) 295-7854
Mailing address
1240 WALKER AVE, APT 206, WALNUT CREEK, CA 94596-4863
(925) 949-8620
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A78970
CA
Other
Enumeration date
02/26/2007
Last updated
12/09/2021
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