Most Relevant Information
Provider Data
| NPI Number: | 1003061532 |
| Provider Name: | JESSE JACOBS |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 19978 |
Most Important Dates
| Enumeration Date: | 11/25/2008 |
| Last Updated: | 11/25/2008 |
Provider Practice Location
401 E CARRILLO ST
SANTA BARBARA
CA
931011460
Practice Location Phone/Fax
| Phone: | 8055633307 |
| Fax: | 8055630998 |
Provider Mailing Location
10999 MARBELLA DR
RANCHO CUCAMONGA
CA
917376988
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |