Search › California › 101YM0800X
Jackson Red
NPI 1013466820 · on the registry since 2016
Practice
- Address
- 1196 Third Ave
Chula Vista, CA 91911 - Phone
- (619) 427-4661
- Organisation at this address
- Community Research Foundation, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 38
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101YM0800X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-10-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California