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Sharon Jacob-Soo

Dermatologist

3860 Calle Fortunada Ste #210
San Diego , California 92123-4802

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Image

Sharon Jacob-Soo

Dermatologist

3860 Calle Fortunada Ste #210
San Diego , California 92123-4802

(858) 309-6301

Write a Review Save Call

Sharon Jacob-Soo

Dermatologist

3860 Calle Fortunada Ste #210
San Diego , California 92123-4802

(858) 309-6301 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Dermatologist

Languages spoken

  • English

Location

3860 Calle Fortunada Ste #210 San Diego , California 92123-4802

First Address

  • Sharon Jacob-Soo
  • 3860 Calle Fortunada Ste #210
  • San Diego, CA
  • Zip : 92123-4802
  • Fax : (858) 309-6301
  • Phone : (858) 309-6303

Second Address

  • Sharon Jacob-Soo
  • 3860 Calle Fortunada Ste #210
  • San Diego, CA
  • Zip : 92123-4802
  • Fax : (858) 309-6301
  • Phone : (858) 309-6303

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FAQs


Where did Sharon Jacob-Soo attend graduate school?

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Where did Sharon Jacob-Soo do her residency?

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Where did Sharon Jacob-Soo do her fellowship?

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Is Sharon Jacob-Soo board certified?

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What type of doctor is Sharon Jacob-Soo

Dermatologist

In what state does Sharon Jacob-Soo practice in?

California

Where is Sharon Jacob-Soo ’s practice located?

3860 Calle Fortunada Ste #210 , San Diego, California, 92123-4802

What is Sharon Jacob-Soo ’s gender?

Female

Is Sharon Jacob-Soo a sole practitioner?

No

Is Sharon Jacob-Soo accepting new patients?

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What languages does Sharon Jacob-Soo speak?

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Does Sharon Jacob-Soo accept insurance?

Yes, Sharon Jacob-Soo accepts insurance

Does Sharon Jacob-Soo offers telemedicine?

Sharon Jacob-Soo has not indicated if she offers telemedicine

What is Sharon Jacob-Soo ’s professional license number?

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What is Sharon Jacob-Soo ’s NPI number?

1053349688

Does Sharon Jacob-Soo have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207N00000X Dermatologist A100287 CA
N 207N00000X Dermatologist ME89945 FL

National Provider Identifier

NPI 1053349688
Provider Name Sharon Jacob-Soo
First Address San Diego, CA 92123-4802
Second Address San Diego, CA 92123-4802
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 30/06/2006
Last Update Date 25/10/2011

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
2704986-00 (05) FL
I16287 (02) FL

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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