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Dr. Mark David Jacobson, MD
Orthopedic Surgery Physician in San Diego, California
NPI 1760551915

Mark David Jacobson is a Orthopedic Surgery Physician based in San Diego, CA. Mark David Jacobson practices in San Diego, CA and has the professional credentials of MD. The NPI Number for Mark David Jacobson is 1760551915 and holds a License No. G71151 (California).

The current practice location address for Mark David Jacobson is 5555 Reservoir Dr Ste 104, San Diego, CA and can be reached out via phone at 619-286-6930 and via fax at 619-286-9438.

Location: 5555 Reservoir Dr Ste 104, San Diego, CA, 92120-5198
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760551915
Provider Name
Mark David Jacobson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5555 Reservoir Dr Ste 104, San Diego, CA, 92120-5198
Phone Number
619-286-6930
Fax Number
619-286-9438
Provider Enumeration Date
11/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G711510 05 CA
990010759 01 CA MEDICARE RR
institution
Provider Business Practice Location Address Details
Address
5555 Reservoir Dr Ste 104
City
San Diego
State
California
Zip
92120-5198
Phone Number
619-286-6930
Fax Number
619-286-9438
person
Provider Business Mailing Address Details
Address
5555 Reservoir Dr Ste 104
City
San Diego
State
California
Zip
92120-5198
Phone Number
619-286-6930
Fax Number
619-286-9438
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
-
Taxonomy
207X00000X
License No.
G71151 (California)
Definition
An orthopedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Hand Surgery
Taxonomy
207XS0106X
License No.
G71151 (California)
Definition
An orthopedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
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