Search › California › 1041C0700X
Jacari Jackson
NPI 1790277648 · on the registry since 2018
Practice
- Address
- 14003 Eadall Ave
Los Angeles, CA 90061 - Phone
- (424) 250-8272
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YM0800X
390200000X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-11-12
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