Sharon Jacob-Soo in San Diego - Dermatology

Sharon Jacob-Soo - NPI 1053349688

Sharon Jacob-Soo is a Dermatology in San Diego, California. Sharon Jacob-Soo practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Sharon Jacob-Soo is 1053349688. The last update date is 2011-10-25.

Sharon Jacob-Soo's current location address is 3860 Calle Fortunada, San Diego, California. You can contact this provider via phone number 8583096303 and fax number 8583096301. The mailing address for Sharon Jacob-Soo is 3860 Calle Fortunada, San Diego, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Sharon Jacob-Soo
Address 3860 Calle Fortunada, San Diego, California
Phone Number 8583096303
Fax Number 8583096301
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1053349688
Provider Enumeration Date 2006-06-30
Last Updated Date 2011-10-25

Provider Mailing Address Detail

Address 3860 Calle Fortunada
City San Diego
State California (CA)
Post Code 921234802
Phone Number 8583096303
Fax Number 8583096301

Provider's Primary Taxonomy Detail

Speciality Dermatology
Taxonomy 207N00000X
Licence No ME89945
Definition:
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2704986-00 FL --

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FAQs about Sharon Jacob-Soo

What is the unique provider identifier assigned to Sharon Jacob-Soo?

The Sharon Jacob-Soo has been issued the NPI (National Provider Identifier) 1053349688 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the Sharon Jacob-Soo's physical address?

The Sharon Jacob-Soo is physically located at 3860 Calle Fortunada, in the city of San Diego, CA, with the postal code 921234802.

What is the Sharon Jacob-Soo's specialty and taxonomy code?

The Sharon Jacob-Soo's specialty is Dermatology, and the corresponding taxonomy code is 207N00000X.

On what date did Sharon Jacob-Soo receive its 1053349688 assignment from the Centers for Medicare & Medicaid Services?

The Sharon Jacob-Soo was assigned its 1053349688 on 2006-06-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Sharon Jacob-Soo most recently updated?

The details pertaining to the Sharon Jacob-Soo, including its address, specialty, and other relevant information, were last refreshed on 2011-10-25.

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