MEDICARE: JOANNE FRANCES JACOBSON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	G52210	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215073572
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOANNE FRANCES JACOBSON MD

Provider Business Mailing Address
First Line	:	PO BOX 7793
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94120-7793
Country	:	US
Telephone Number	:	925-951-1366
Fax Number	:

Provider Business Practice Location Address
First Line	:	66 BOVET RD
Second Line	:	STE 103
City	:	SAN MATEO
State	:	CA
Zip	:	94402-3125
Country	:	US
Telephone Number	:	650-570-0500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	07/08/2007

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