Individual
DR. JACOB GIBBENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
JAKE GIBBENS
Contact information
Practice address
710 LAWRENCE EXPY DEPT 340, SANTA CLARA, CA 95051-5173
(408) 851-3570
(408) 851-3574
Mailing address
710 LAWRENCE EXPY DEPT 340, SANTA CLARA, CA 95051-5173
(408) 851-3035
(408) 851-9574
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
A155597
CA
Other
Enumeration date
06/02/2011
Last updated
02/11/2022
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