Daniel Jacobson

NPI 1164690756 · on the registry since 2008 · sole proprietor

Practice

Address: 338 S Dakota Ave
Vandenberg Afb, CA 93437
Phone: (586) 588-4002
Organisation at this address: 30th Medgrp-Vandenberg
30th Medgrp-Vandenberg
Health And Wellness Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 56

Registry record

Primary taxonomy: 103G00000X
103G00000X
Licence states on file: AL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-11-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California