Search › California › 101YM0800X
Richard Jackson
NPI 1346476637 · on the registry since 2009
Practice
- Address
- 957 Industrial Rd
Suite B
San Carlos, CA 94070 - Phone
- (415) 375-1628
- Organisation at this address
- Egewood Center For Children And Families
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 140
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-06-01
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