Most Relevant Information
Provider Data
| NPI Number: | 1003275264 |
| Provider Name: | JACOB MOULDS DO |
| Entity Type: | Individual |
| Taxonomy Code: | 2084P0800X |
| Specialty: | Psychiatry & Neurology |
| License Number: | OS16307 |
Most Important Dates
| Enumeration Date: | 02/16/2016 |
| Last Updated: | 06/11/2020 |
Provider Practice Location
3061 FILLMORE ST
SAN FRANCISCO
CA
941234009
Practice Location Phone/Fax
| Phone: | 4152923440 |
| Fax: |
Provider Mailing Location
3061 FILLMORE ST
SAN FRANCISCO
CA
941234009
Provider Mailing Phone/Fax
| Phone: | 4152923440 |
| Fax: |
Suggested EMR
Psychiatry EMR