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Jackson Rand
NPI 1801610225 · on the registry since 2024
Practice
- Address
- 9500 Haven Ave Ste 100
Rancho Cucamonga, CA 91730 - Phone
- (909) 980-6700
- Organisation at this address
- Elea Care Inc
South Coast Children'S Society, Inc
South Coast Children'S Society, Inc
South Coast Children'S Society, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 161
Additional practice sites
- 25910 Acero Ste 160, Mission Viejo, CA
Registry record
- Primary taxonomy
- 225400000X
225400000X
- Also registered as
- 172V00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-04-24
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