SearchCalifornia101Y00000X

Leo Jackson, CCDC

NPI 1154524585 · on the registry since 2007 · sole proprietor

Practice

Address
3756 Santa Rosalia Dr Ste 507
Los Angeles, CA 90008
Phone
(323) 290-2001
Fax
(323) 209-2003
Organisation at this address
Ruzmed Inc
Iatreia Inc
Cina Surgery
Sistahfriends
Amy Iwata Dds Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
109

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Sex
Male
Record last updated
2007-07-08

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