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Kiaundra Jackson

NPI 1275935983 · on the registry since 2014 · sole proprietor

Practice

Address
400 Continental Blvd Fl 6
El Segundo, CA 90245
Phone
(310) 751-0389
Fax
(310) 426-2001
Organisation at this address
Cig Group, Llc.
Splice Max, Inc.
Cyscodm Group, Llc
Hydra Health Centers
Pathways Home Care Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Additional practice sites

  • 1501 Hughes Way Ste 150, Long Beach, CA

Registry record

Primary taxonomy
106H00000X
106H00000X
Also registered as
106H00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-03-17

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