Individual
CHRISTOPHER ALAN JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
35000 GUADALCANAL ST, SAN DIEGO, CA 92140-5599
(619) 524-1385
(619) 524-8072
Mailing address
35000 GUADALCANAL ST, SAN DIEGO, CA 92140-5599
(619) 524-1385
(619) 524-8072
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
363A00000X
Physician Assistant
14217533-1206
UT
363AM0700X
Medical Physician Assistant
Primary
14217533-1206
UT
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
02/02/2024
Last updated
04/15/2026
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