Search › California › 101YA0400X
Gary Jackson
NPI 1033462932 · on the registry since 2012
Practice
- Address
- 4610 Santa Anita Blvd, Suite D
El Monte, CA 91731 - Phone
- (626) 453-3432
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-10-17
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