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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