Provider Demographics
NPI:1376756031
Name:JACOBSON, CHRISTINE CATHERINE (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:CATHERINE
Last Name:JACOBSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1445 CASTRO ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94114-3717
Mailing Address - Country:US
Mailing Address - Phone:415-794-8799
Mailing Address - Fax:
Practice Address - Street 1:900 BLAKE WILBUR DR
Practice Address - Street 2:ROOM W0069
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-2201
Practice Address - Country:US
Practice Address - Phone:650-723-9913
Practice Address - Fax:650-723-7796
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA92376207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology