Search › California › 1041C0700X
Aeisha Jackson
NPI 1093174310 · on the registry since 2016 · sole proprietor
Practice
- Address
- 3075 Myers St
Riverside, CA 92503 - Phone
- (951) 358-4625
- Organisation at this address
- County Of Riverside
County Of Riverside
County Of RiversideInferred from a shared address, not stated in the registry. - Clinicians at this address
- 57
Additional practice sites
- 20463 Valley Blvd, Walnut, CA
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YM0800X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-05-21
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